TRACY C POOLE (NP) – Gerontology Nurse Practitioner, NPI 1912538463
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for TRACY C POOLE (NP)
4196 HIGHWAY 62 412 STE A
HARDY, AR 725428002
Phone:
Type: Mailing
1308 E PAGE AVE
MALVERN, AR 721044518
Phone: (501) 337-9820
Fax: (501) 468-0478
Type: Location
1010 N Center St
Lonoke, AR 720862005
Phone: (501) 438-8075
Fax: (501) 468-0452
Type: Location
1016 N Fourche Ave
Perryville, AR 721268545
Phone: (501) 237-1284
Fax: (501) 468-0469
Type: Location
1509 DULLES DR
LAFAYETTE, LA 705063718
Phone: (337) 991-9276
Fax: (337) 943-0846
Type: Mailing
609 SW 8TH ST FL 6
BENTONVILLE, AR 727127886
Phone: (337) 991-9276
Fax: (337) 943-0846
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200304000327 | I | Nurse Practitioner | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 32 | 17 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 17 | 13 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 72542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| H O S P I T A L I S T | AR | |
| Nurse Practitioner | AR |
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