MS. TRACY FORD (FNP) – Family Nurse Practitioner, NPI 1376925891
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for MS. TRACY FORD (FNP)
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-1070
Type: Mailing
710 N NILES AVE
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
1815 E Ireland Rd
South Bend, IN 466142845
Phone: (574) 647-1750
Fax: (574) 647-1748
Type: Location
2222 Rieth Blvd
Ste 100
Goshen, IN 465265869
Phone: (574) 875-1200
Type: Location
42 N Saint Joseph Ave
Niles, MI 491202203
Phone: (269) 683-8528
Fax: (269) 683-8660
Type: Location
3301 County Road 6 E
Elkhart, IN 465147673
Phone: (574) 266-5342
Fax: (574) 266-5847
Type: Location
6913 N MAIN ST
GRANGER, IN 465308039
Phone: (574) 647-1500
Fax: (574) 243-4306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $821.
Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Organogenesis Inc. ($397).
Total Amount
$821
General + Research + Ownership
Payments
27
Total payment records
General Amount
$821
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $397 |
| Kerecis Limited | $207 |
| Smith+Nephew, Inc. | $87 |
| TACTILE SYSTEMS TECHNOLOGY INC | $56 |
| Solventum Corporation | $45 |
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: 2019-09-12
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 |
|---|---|---|---|---|
| I20151028001322 | I | Nurse Practitioner | IN | TBD |
| I20190912001508 | I | Nurse Practitioner | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 234 | 113 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 165 | 60 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 137 | 48 | $0 |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 120 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 45 | $0 |
Insurance plans in this area (ZIP 46530)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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