TRACY ADELE CASWELL (APRN) – Nurse Practitioner, NPI 1407407885

TRACY ADELE CASWELL (APRN) is a healthcare provider. based in Salem, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209.020124041.288784 (IL). The NPI Number for TRACY ADELE CASWELL (APRN) is 1407407885

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TRACY ADELE CASWELL (APRN)
NPI
1407407885
Phone
(618) 367-6145
Address
5370 CHURCH RD
Enumeration Date
26 September 2019
Last Update Date
29 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61854831948188
Graduation Year
2019 (7 years ago)
PAC ID
4880027010
Group Practice PAC ID
0840195277
Professional Enrollment ID
I20191202002738
Address ID
IL628812013SA1321XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TRACY ADELE CASWELL (APRN)

  • Church Road, Fogarty, St. Peter's, Saint Peter, Montserrat

    SALEM, IL 628817202

    Phone: (618) 367-6145

    Type: Mailing

  • 1201 RICKER RD

    SALEM, IL 628814263

    Phone: (618) 548-3194

    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: 2019-12-02

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
I20191202002738INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62881)

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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: 0840195277View full group profile
NameSpecialtyState
General SurgeryIL
-MO
Cardiovascular Disease (Cardiology), Internal MedicineIL
-IL
-IL
Pulmonary Disease, Critical Care (Intensivists)IL
Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
General PracticeIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for TRACY ADELE CASWELL (APRN)?
TRACY ADELE CASWELL (APRN) — NPI 1407407885 — is the standard way to identify this listing.
Does the file indicate TRACY ADELE CASWELL (APRN) is practicing under active NPI?
Directory data currently reports TRACY ADELE CASWELL (APRN) as active.
What healthcare role does TRACY ADELE CASWELL (APRN) hold?
Scheduling teams often label TRACY ADELE CASWELL (APRN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does TRACY ADELE CASWELL (APRN) list a practice location?
Patients near Salem, Illinois may find TRACY ADELE CASWELL (APRN) in results; validate coverage separately.
Why does TRACY ADELE CASWELL (APRN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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