TRACY PACKER – Nurse Practitioner, NPI 1942857222

TRACY PACKER is a healthcare provider. based in Watseka, Illinois. specializing in Nurse Practitioner. They hold a License No. 209018658 (IL). The NPI Number for TRACY PACKER is 1942857222

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TRACY PACKER
NPI
1942857222
Phone
(217) 621-6360
Address
200 E FAIRMAN AVE
Enumeration Date
21 August 2019
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154325411
Graduation Year
2018 (8 years ago)
PAC ID
8022440015
Group Practice PAC ID
4385551258
Professional Enrollment ID
I20191113000527

Contacts

Secure Messaging
tracy.packer.1@15486.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness95
Years active:6State licenses:1Other names

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Provider Addresses for TRACY PACKER

  • Iroquois Memorial Hospital, 200, East Fairman Avenue, Watseka, Iroquois County, Illinois, 60970, United States

    WATSEKA, IL 609701644

    Phone: (217) 621-6360

    Type: Mailing

  • 2300 N EDWARD ST

    DECATUR, IL 625264163

    Phone: (217) 876-4200

    Fax: (217) 876-4209

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2023-01-11 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($75).

Total Amount

$75

General + Research + Ownership

Payments

1

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI-AVENTIS U.S. LLC$75
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: 2019-11-13

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
I20191113000527INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes222156$0
99214Established patient office or other outpatient visit, 30-39 minutes12284$0
99212Established patient office or other outpatient visit, 10-19 minutes4541$0
G0008Administration of influenza virus vaccine3432$0
99203New patient office or other outpatient visit, 30-44 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 60970)

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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: 4385551258View full group profile

Reviews

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Frequently asked questions

What is TRACY PACKER's NPI number?
TRACY PACKER's NPI is 1942857222 — the number used across U.S. healthcare to identify this provider.
Would TRACY PACKER appear as active to a payer?
You can treat TRACY PACKER as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with TRACY PACKER?
TRACY PACKER's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with TRACY PACKER?
Directory geography for TRACY PACKER centers on Watseka, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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