MRS. TRACY LEIGH LOWRY FNP-C
NPI 1407122179
Nurse Practitioner in Gravette, AR

Q: What is Tracy Lowry's NPI number?

The NPI number for Tracy Lowry is 1407122179. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Tracy Lowry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Lowry was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2012PECOS Enrolled

1101 JACKSON ST SW, GRAVETTE, AR 72736(479) 787-5221(479) 787-5613 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 16, 2023, Aug 19, 2022, Jun 29, 2020 (3 updates tracked since 2020).

On this page

About Mrs. Tracy Leigh Lowry Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACY LEIGH LOWRY FNP-C (NPI 1407122179) is an individual nurse practitioner in Gravette, Arkansas, licensed in Missouri (2012005448) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407122179

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. TRACY LEIGH LOWRYCredential: FNP-C

Location Address1101 JACKSON ST SWGravette, AR 72736-9121

Mailing Address1101 Jackson St SwGravette, AR 72736-9121 · (479) 787-5221 · Fax (479) 787-5613

Phone(479) 787-5221

Fax(479) 787-5613

Sole ProprietorNo

Enumeration DateMarch 28, 2012

Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1407122179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2012005448

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1101 JACKSON ST SW, Gravette, AR 72736

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Leigh Lowry Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Lowry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sgoh Acquisition Inc

Same address

Critical Access

1101 JACKSON ST SW
Gravette, AR 72736

Reassigned Medicare billing, Arkansas and Missouri enrollments
Also billed through NPI 1114924768 (Missouri)
14 clinicians in this Medicare group

NPI 1568643005 (479) 787-5291

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID JOHN TUCKER MD

Family Medicine