TRACY LYNNE MOODY FNP-BC
NPI 1578713798
Nurse Practitioner - Family in Baldwin, MI

Q: What is Tracy Moody's NPI number?

The NPI number for Tracy Moody is 1578713798. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Q: What is Tracy Moody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Moody was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 24, 2008PECOS Enrolled

1615 MICHIGAN AVE, BALDWIN, MI 49304(231) 745-4624 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Tracy Lynne Moody Fnp-bc NPPES

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

TRACY LYNNE MOODY FNP-BC (NPI 1578713798) is an individual family provider in Baldwin, Michigan, licensed in Michigan (4704177334) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578713798

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTRACY LYNNE MOODYCredential: FNP-BC

Location Address1615 MICHIGAN AVEBaldwin, MI 49304

Mailing Address2249 Wealthy St Se, Ste 202Grand Rapids, MI 49506-3052 · (248) 952-1601 · Fax (248) 952-1614

Phone(231) 745-4624

Sole ProprietorYes

Enumeration DateSeptember 24, 2008

Last NPPES UpdateJuly 29, 2015

✔ NPI 1578713798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704177334

1615 MICHIGAN AVE, Baldwin, MI 49304

Open in Google Maps ↗

Other Identifiers 1

Medicare PINP17710017MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Lynne Moody Fnp-bc 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 49304 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Leave this field empty

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.

ANIKA WALTONSTANCIEL

Social Worker (Clinical)