TRACEY LYNN TINNON (RN,MSN,FNP-BC) – Primary Care Nurse Practitioner, NPI 1043982697

TRACEY LYNN TINNON (RN,MSN,FNP-BC) is a healthcare provider. based in Benson, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials RN,MSN,FNP-BC. They hold a License No. 263513 (AZ). The NPI Number for TRACEY LYNN TINNON (RN,MSN,FNP-BC) is 1043982697

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY LYNN TINNON (RN,MSN,FNP-BC)
NPI
1043982697
Phone
(520) 586-2261
Address
450 S OCOTILLO AVE
Enumeration Date
1 October 2021
Last Update Date
12 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5205862261
Graduation Year
2021 (5 years ago)
PAC ID
8820486590
Group Practice PAC ID
3274443056
Professional Enrollment ID
I20211028003245
Address ID
AZ856026403BE450XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for TRACEY LYNN TINNON (RN,MSN,FNP-BC)

  • 450 S OCOTILLO AVE

    BENSON, AZ 856026490

    Phone: (520) 586-2261

    Fax: (520) 586-7283

    Type: Mailing

  • 688 W 4TH ST

    BENSON, AZ 856026314

    Phone: (520) 720-6551

    Fax: (520) 720-6552

    Type: Location

  • 286 S LENZNER AVE STE A

    SIERRA VISTA, AZ 856355685

    Phone: (520) 452-0388

    Fax: (877) 281-8622

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $366.

Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($90).

Total Amount

$366

General + Research + Ownership

Payments

16

Total payment records

General Amount

$366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211028003245INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month3030$0
View full utilization report →

Insurance plans in this area (ZIP 85602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274443056View full group profile
NameSpecialtyState
Family PracticeAZ
Family PracticeAZ
-AZ
R H E U M A T O L O G YCO
Physician AssistantNC
Hospitalist, Family PracticeAZ
Internal MedicineIN
Nurse PractitionerAZ
Family PracticeKY
Internal MedicineWI

Reviews

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Frequently asked questions

What federal number belongs to TRACEY LYNN TINNON (RN,MSN,FNP-BC)?
The federal identifier for TRACEY LYNN TINNON (RN,MSN,FNP-BC) is NPI 1043982697.
Is TRACEY LYNN TINNON (RN,MSN,FNP-BC)'s NPI currently valid?
The extract we use shows TRACEY LYNN TINNON (RN,MSN,FNP-BC) as active.
Can you summarize TRACEY LYNN TINNON (RN,MSN,FNP-BC)'s specialty in plain language?
Clinically, the directory lists TRACEY LYNN TINNON (RN,MSN,FNP-BC) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place TRACEY LYNN TINNON (RN,MSN,FNP-BC)?
The snapshot lists Benson, Arizona for TRACEY LYNN TINNON (RN,MSN,FNP-BC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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