MRS. TRACY LYNNE MCTIERNAN PNP
NPI 1467671453
Nurse Practitioner - Pediatrics in New York, NY
About Mrs. Tracy Lynne Mctiernan Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TRACY LYNNE MCTIERNAN PNP (NPI 1467671453) is an individual pediatrics provider in New York, New York, licensed in New York (F381220) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Lynne Mctiernan Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracy Mctiernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
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 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10016
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tracy Mctiernan's NPI number?
The NPI number for Tracy Mctiernan is 1467671453. It was assigned to this individual provider in the NPPES registry on April 25, 2007.
Where is Tracy Mctiernan located?
Tracy Mctiernan practices at 530 1st Ave Suite 10 W, New York, NY 10016. The listed phone number is (212) 263-7391.
What is Tracy Mctiernan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Tracy Mctiernan enrolled in Medicare?
Yes. Tracy Mctiernan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracy Mctiernan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Mctiernan reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Mctiernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tracy Mctiernan was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Tracy Lynne Mctiernan, PNP · NPI 1467671453
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1467671453 (Entity type: Individual)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** F381220 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 530 1ST AVE, SUITE 10 W, New York, NY 10016-6402
- **Phone:** (212) 263-7391 · **Fax:** (212) 263-6590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2021
- **Other identifiers:** Medicaid 02091867 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1467671453) · Data from the CMS NPPES public registry.