TRACY PACINI – Psychiatric/Mental Health Nurse Practitioner, NPI 1154727097
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for TRACY PACINI
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 620406805
Phone: (618) 512-1919
Type: Mailing
50 Northgate Industrial Dr
Granite City, IL 620406805
Phone: (618) 512-1919
Type: Location
12 N 64TH ST
BELLEVILLE, IL 622233809
Phone: (618) 877-4420
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2023-10-20 • Largest payer in this snapshot: ABBVIE INC. ($100).
Total Amount
$100
General + Research + Ownership
Payments
5
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $100 |
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: 2025-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180627001734 | I | Nurse Practitioner | IL | TBD |
| I20251014000729 | I | Nurse Practitioner | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Nurse Practitioner | CO | |
| Emergency Medicine | CO | |
| Nurse Practitioner | WV | |
| Emergency Medicine, Family Practice | AZ | |
| Emergency Medicine | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Emergency Medicine, Family Practice | OH | |
| Mental Health Counselor | IL |
Reviews
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