MRS. TRACEY GAYLE DECASTRO APRN - NPI 1902232374 - Nurse Practitioner in Smithfield, RI

Q: What is Tracey Decastro's NPI number?

The NPI number for Tracey Decastro is 1902232374. It was assigned to this individual provider in the NPPES registry on September 17, 2013. The provider is also known as Tracey Gayle Church.

Q: What is Tracey Decastro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Decastro was last updated on March 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Tracey Gayle Decastro Aprn NPPES

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

MRS. TRACEY GAYLE DECASTRO APRN (NPI 1902232374) is an individual family provider in Smithfield, Rhode Island, licensed in Rhode Island (APRN00656) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902232374

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TRACEY GAYLE DECASTROCredential: APRN

Location Address910 DOUGLAS PIKESmithfield, RI 02917-1874

Mailing Address74 Jeremy Hill RdStonington, CT 06378-1605 · (860) 501-1326

Phone(401) 427-6727

Fax(401) 709-7181

Sole ProprietorNo

Enumeration DateSeptember 17, 2013

Last NPPES UpdateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1902232374 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 RI · APRN00656

910 DOUGLAS PIKE, Smithfield, RI 02917

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Other Names 1

Former Name (1)Tracey Gayle Church

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracey Gayle Decastro Aprn 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 02917 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 6

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

MELINA HARDY APRN

Nurse Practitioner (Family)