DR. TRACIE E CLISBY
NPI 1942574769
Nurse Practitioner - Family in Chicago, IL
About Dr. Tracie E Clisby NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRACIE E CLISBY (NPI 1942574769) is an individual family provider in Chicago, Illinois, licensed in Illinois (277.002085) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Tracie E Clisby 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Of Chicago Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60637
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 Tracie Clisby's NPI number?
The NPI number for Tracie Clisby is 1942574769. It was assigned to this individual provider in the NPPES registry on February 24, 2012.
Where is Tracie Clisby located?
Tracie Clisby practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.
What is Tracie Clisby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tracie Clisby enrolled in Medicare?
Yes. Tracie Clisby 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.
Is Tracie Clisby affiliated with any hospitals?
According to CMS data, Tracie Clisby is affiliated with The University Of Chicago Medical Center.
When was this NPI record last updated?
The NPPES record for Tracie Clisby was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Tracie E Clisby · NPI 1942574769
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since February 24, 2012.
## Identity
- **NPI:** 1942574769 (Entity type: Individual)
- **Enumerated:** February 24, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 277.002085 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5841 S MARYLAND AVE, Chicago, IL 60637-1443
- **Phone:** (888) 824-0200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 11, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1942574769) · Data from the CMS NPPES public registry.