CAROLINE TRACEY FNP
NPI 1740452457
Nurse Practitioner - Family in Ganado, AZ

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since April 02, 2008PECOS EnrolledAccepts Medicare Assignment

US 191 & AZ 264, GANADO, AZ 86505(928) 755-4933(928) 755-4831 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2025, Jan 8, 2020 (2 updates tracked since 2020).

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About Caroline Tracey Fnp NPPES

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

CAROLINE TRACEY FNP (NPI 1740452457) is an individual family provider in Ganado, Arizona, licensed in Arizona (AP3896) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Acoma, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740452457

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCAROLINE TRACEYCredential: FNP

Location AddressUS 191 & AZ 264Ganado, AZ 86505

Mailing AddressUs 191 & Az 264, Box 457Ganado, AZ 86505-0457 · (928) 755-4632 · Fax (928) 755-4831

Phone(928) 755-4933

Fax(928) 755-4831

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 2, 2008

Last NPPES UpdateMay 28, 20252 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1740452457 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 AZ · AP3896

US 191 & AZ 264, Ganado, AZ 86505

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Secondary Practice Location 1

Location 180 B Veterans BlvdAcoma, NM 87034 · Phone (505) 552-5300 · Fax (505) 552-5490

Other Identifiers 1

MedicaidH3451NM

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

Caroline Tracey Fnp 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 ID3577752856

PECOS Enrollment IDI20250116003418

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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

199 services139 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

163 services133 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

59 services56 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

36 services29 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

31 services30 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.

26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86505 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 11

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

SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC

Counselor

US 191 & AZ 264, SALSBURY HALL SAGE MEMORIAL HOSPITAL CAMPUS
GANADO, AZ 86505

Apache County (928) 755-4500

NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC

Clinic/Center (Critical Access Hospital)