TRACY NELSON
NPI 1710134473
Counselor in Yukon, OK

Q: What is Tracy Nelson's NPI number?

The NPI number for Tracy Nelson is 1710134473. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Q: What is Tracy Nelson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Nelson was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 25, 2008PECOS EnrolledAccepts Medicare Assignment

508 W VANDAMENT AVE STE 210, YUKON, OK 73099(405) 632-6688 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2021, Jan 20, 2016 (2 updates tracked since 2016).

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About Tracy Nelson NPPES

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

TRACY NELSON (NPI 1710134473) is an individual counselor in Yukon, Oklahoma and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1710134473

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameTRACY NELSON

Location Address508 W VANDAMENT AVE STE 210Yukon, OK 73099-4666

Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688

Phone(405) 632-6688

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 25, 2008

Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration

NPPES CertifiedOctober 18, 2021

✔ NPI 1710134473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

508 W VANDAMENT AVE STE 210, Yukon, OK 73099

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Secondary Practice Location 1

Location 14000 W Reno AveOklahoma City, OK 73107-6632 · Phone (405) 632-6688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 Nelson 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 ID42660961

PECOS Enrollment IDI20240117001798

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.

Other Providers at the Same Location NPPES 7

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

MRS. SARA LEHR APRN-CNP

Nurse Practitioner (Family)