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BRANDON S TRACY FNP-C
NPI 1710403746
Nurse Practitioner in Rexburg, ID

Active since August 22, 2017PECOS Enrolled
1049 SUMMERS DR, REXBURG, ID 83440(208) 359-4841(208) 359-4842 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2019, Aug 12, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Brandon S Tracy Fnp-c NPPES

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

BRANDON S TRACY FNP-C (NPI 1710403746) is an individual nurse practitioner in Rexburg, Idaho, licensed in Idaho (60637) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710403746
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRANDON S TRACYCredential: FNP-C
Location Address1049 SUMMERS DRRexburg, ID 83440-5335
Mailing Address1049 Summers DrRexburg, ID 83440-5335 · (208) 359-4841
Phone(208) 359-4841
Fax(208) 359-4842
Sole ProprietorNo
Enumeration DateAugust 22, 2017
Last NPPES UpdateOctober 11, 20194 updates tracked since enumeration
✔ NPI 1710403746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 60637
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CNP60637 (ID)
1049 SUMMERS DR, Rexburg, ID 83440
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon S Tracy Fnp-c 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 83440 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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

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

ALPINE DERMATOLOGY CLINIC P.C.
Clinic/Center (Medical Specialty)
1049 SUMMERS DR
REXBURG, ID 83440
Madison County (208) 359-4841

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 Brandon Tracy's NPI number?

The NPI number for Brandon Tracy is 1710403746. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Brandon Tracy located?

Brandon Tracy practices at 1049 Summers Dr, Rexburg, ID 83440. The listed phone number is (208) 359-4841.

What is Brandon Tracy's specialty?

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

Is Brandon Tracy enrolled in Medicare?

Yes. Brandon Tracy is registered in the Medicare PECOS enrollment system.

What insurance does Brandon Tracy accept?

Health plans from Moda Health Plan, Inc. list Brandon Tracy 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.

When was this NPI record last updated?

The NPPES record for Brandon Tracy was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.