TRACY C MARSHALL-JOHNSON
NPI 1811533128
Counselor - Mental Health in Fort Wayne, IN

Active since November 21, 2019PECOS EnrolledAccepts Medicare Assignment
1027 W RUDISILL BLVD STE 207, FORT WAYNE, IN 46807(260) 444-7200 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2022, Nov 21, 2019 (2 updates tracked since 2019).

About Tracy C Marshall-johnson NPPES

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

TRACY C MARSHALL-JOHNSON (NPI 1811533128) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (88001119A) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811533128
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY C MARSHALL-JOHNSON
Location Address1027 W RUDISILL BLVD STE 207Fort Wayne, IN 46807-2160
Mailing Address1027 W Rudisill Blvd Ste 207Fort Wayne, IN 46807-2160 · (260) 444-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 21, 2019
Last NPPES UpdateMarch 2, 20222 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1811533128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IN · 88001119A
1027 W RUDISILL BLVD STE 207, Fort Wayne, IN 46807

Other Identifiers 1

Medicaid1811533128IN

Accepted 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 C Marshall-johnson 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 ID2365983756
PECOS Enrollment IDI20240925003722
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.

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 Marshall-johnson's NPI number?

The NPI number for Tracy Marshall-johnson is 1811533128. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Tracy Marshall-johnson located?

Tracy Marshall-johnson practices at 1027 W Rudisill Blvd Ste 207, Fort Wayne, IN 46807. The listed phone number is (260) 444-7200.

What is Tracy Marshall-johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tracy Marshall-johnson enrolled in Medicare?

Yes. Tracy Marshall-johnson 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 Marshall-johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Tracy Marshall-johnson 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 Tracy Marshall-johnson was last updated on March 2, 2022. 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.