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TRACY BANGHART NP
NPI 1689332041
Nurse Practitioner - Family in La Porte, IN

Active since December 02, 2021PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
1331 STATE ST STE 340, LA PORTE, IN 46350(219) 324-0875(219) 324-0827 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2022, Dec 2, 2021 (2 updates tracked since 2021).

About Tracy Banghart Np NPPES

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

TRACY BANGHART NP (NPI 1689332041) is an individual family provider in La Porte, Indiana, licensed in Indiana (71011976A) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689332041
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY BANGHARTCredential: NP
Location Address1331 STATE ST STE 340La Porte, IN 46350-3112
Mailing Address1331 State St Ste 340La Porte, IN 46350-3112 · (219) 324-0875 · Fax (219) 324-0827
Phone(219) 324-0875
Fax(219) 324-0827
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 2, 2021
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1689332041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71011976A
Also ListedRegistered Nurse · GastroenterologyTaxonomy 163WG0100X · License 71011976A (IN)
1331 STATE ST STE 340, La Porte, IN 46350
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 and accepts Medicare assignment

Tracy Banghart Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254725310
PECOS Enrollment IDI20220307001134
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
242 services190 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services136 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Northwest Health - Starke

Acute Care Hospitals · Knox, IN
OwnershipProprietary
CMS Certification Number150102
Location102 E Culver RdKnox, IN 46534 · Starke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

JARON LEE PETTIS
Surgery
1331 STATE ST STE 340
LA PORTE, IN 46350
Laporte County (219) 379-3166

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 Banghart's NPI number?

The NPI number for Tracy Banghart is 1689332041. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Tracy Banghart located?

Tracy Banghart practices at 1331 State St Ste 340, La Porte, IN 46350. The listed phone number is (219) 324-0875.

What is Tracy Banghart's specialty?

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

Is Tracy Banghart enrolled in Medicare?

Yes. Tracy Banghart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tracy Banghart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Tracy Banghart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tracy Banghart affiliated with any hospitals?

According to CMS data, Tracy Banghart is affiliated with Northwest Health-La Porte and Northwest Health - Starke.

When was this NPI record last updated?

The NPPES record for Tracy Banghart was last updated on August 29, 2022. 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.