TRACI THORNSBURY APRN
NPI 1407209299
Nurse Practitioner - Psychiatric/Mental Health in Williamson, WV

Q: What is Traci Thornsbury's NPI number?

The NPI number for Traci Thornsbury is 1407209299. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Q: What is Traci Thornsbury's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Traci Thornsbury was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 18, 2016PECOS Enrolled

104 LOGAN ST STE A, WILLIAMSON, WV 25661(304) 236-5902 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2024, Apr 21, 2017, Apr 11, 2017 (3 updates tracked since 2017).

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About Traci Thornsbury Aprn NPPES

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

TRACI THORNSBURY APRN (NPI 1407209299) is an individual psychiatric/mental health provider in Williamson, West Virginia, licensed in West Virginia (92307) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Williamson.

NPPES Registry Identity

NPI1407209299

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTRACI THORNSBURYCredential: APRN

Location Address104 LOGAN ST STE AWilliamson, WV 25661-3606

Mailing AddressPo Box 2080Williamson, WV 25661-2080 · (304) 236-5902 · Fax (855) 487-4047

Phone(304) 236-5902

Sole ProprietorYes

Enumeration DateJuly 18, 2016

Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1407209299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WV · 92307

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 92307 (WV)

104 LOGAN ST STE A, Williamson, WV 25661

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Secondary Practice Location 1

Location 1184 E 2nd Ave Ste 210Williamson, WV 25661-3602 · Phone (304) 236-5902 · Fax (855) 487-4047

Other Identifiers 1

Medicaid7100443080KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traci Thornsbury Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25661 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers29 claims68 services$4.22 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers26 claims26 services$0.69 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers14 claims14 services$185.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

KASEY M BALDWIN LPC

Counselor (Mental Health)