MRS. TRACY LYNNE MCTIERNAN PNP
NPI 1467671453
Nurse Practitioner - Pediatrics in New York, NY

Active since April 25, 2007PECOS Enrolled
530 1ST AVE, SUITE 10 W, NEW YORK, NY 10016(212) 263-7391(212) 263-6590 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1467671453
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. TRACY LYNNE MCTIERNANCredential: PNP
Location Address530 1ST AVE, SUITE 10 WNew York, NY 10016-6402
Mailing Address292 Hart AveStaten Island, NY 10310-3024 · (718) 816-8768
Fax(212) 263-6590
Sole ProprietorYes
Enumeration DateApril 25, 2007
Last NPPES UpdateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
NPI 1467671453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NY · F381220
530 1ST AVE, New York, NY 10016

Other Identifiers 1

Medicaid02091867NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Tracy Lynne Mctiernan Pnp 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 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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Internal Medicine (Gastroenterology)
530 1ST AVE, HCC 4F
NEW YORK, NY 10016
Specialist
530 1ST AVE, SUITE 3D
NEW YORK, NY 10016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Specialist
530 1ST AVE, SUITE 5D
NEW YORK, NY 10016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Internal Medicine (Gastroenterology)
530 1ST AVE, 9 N
NEW YORK, NY 10016
Internal Medicine (Gastroenterology)
530 1ST AVE, 9 N
NEW YORK, NY 10016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467671453, enumerated as an "individual" on April 25, 2007.

The provider is located at 530 1ST AVE SUITE 10 W NEW YORK, NY 10016 and the phone number is (212) 263-7391.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.