TRACY CLAIRE KUTSENKOW NP
NPI 1699767020
Nurse Practitioner in Selma, CA

Active since August 22, 2005
2511 LOGAN ST, LOGAN STREET MEDICAL GROUP, SELMA, CA 93662(559) 896-2624(559) 896-3235 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Claire Kutsenkow Np NPPES

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

TRACY CLAIRE KUTSENKOW NP (NPI 1699767020) is an individual nurse practitioner in Selma, California, licensed in California (308978) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1699767020
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTRACY CLAIRE KUTSENKOWCredential: NP
Location Address2511 LOGAN ST, LOGAN STREET MEDICAL GROUPSelma, CA 93662-3012
Mailing Address4551 N College AveFresno, CA 93704-3808 · (559) 435-6477 · Fax (559) 435-4220
Fax(559) 896-3235
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateMay 7, 2008
NPI 1699767020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 308978
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2511 LOGAN ST, Selma, CA 93662

Other Identifiers 3

Medicare UPINS61308
Medicare ID-Type UnspecifiedZZZ-151-572CA
Medicare PINZZZ06998ZCA

Other Providers at the Same Location NPPES 6

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

Physician Assistant (Medical)
2511 LOGAN ST
SELMA, CA 93662
Nurse Practitioner (Family)
2511 LOGAN ST
SELMA, CA 93662
Internal Medicine (Cardiovascular Disease)
2511 LOGAN ST
SELMA, CA 93662
Nurse Practitioner
2511 LOGAN ST
SELMA, CA 93662
Nurse Practitioner (Acute Care)
2511 LOGAN ST, 2511 LOGAN STREET
SELMA, CA 93662
Family Medicine
2511 LOGAN ST
SELMA, CA 93662

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 Kutsenkow's NPI number?

The NPI number for Tracy Kutsenkow is 1699767020. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Tracy Kutsenkow located?

Tracy Kutsenkow practices at 2511 Logan St Logan Street Medical Group, Selma, CA 93662. The listed phone number is (559) 896-2624.

What is Tracy Kutsenkow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tracy Kutsenkow was last updated on May 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.