MS. TRACY FORD (FNP) – Family Nurse Practitioner, NPI 1376925891

MS. TRACY FORD (FNP) is a healthcare provider. based in Granger, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 71005567A (IN). The NPI Number for MS. TRACY FORD (FNP) is 1376925891

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. TRACY FORD (FNP)
NPI
1376925891
Phone
(574) 647-1070
Address
3245 HEALTH DR STE 100
Enumeration Date
20 June 2015
Last Update Date
1 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696838070
Graduation Year
2014 (12 years ago)
PAC ID
6305155607
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20190912001508
Address ID
MI491202203NI42XXXAVEX503

Contacts

Secure Messaging
tford@mybeacon.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

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

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: 2019-09-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151028001322INurse PractitionerINTBD
I20190912001508INurse PractitionerMITBD

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 minutes234113$0
99212Established patient office or other outpatient visit, 10-19 minutes16560$0
11042Removal of skin and tissue, 20.0 sq cm or less13748$0
15275Application 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 less12024$0
99214Established patient office or other outpatient visit, 30-39 minutes9545$0
View full utilization report →

Insurance plans in this area (ZIP 46530)

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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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

How do I look up MS. TRACY FORD (FNP) by NPI?
Use NPI 1376925891 when you need to reference MS. TRACY FORD (FNP) in forms, claims, or directories.
Is MS. TRACY FORD (FNP)'s NPI currently valid?
The extract we use shows MS. TRACY FORD (FNP) as active.
Does MS. TRACY FORD (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MS. TRACY FORD (FNP). Clinical services aligned with this taxonomy classification.
Does MS. TRACY FORD (FNP) practice in Indiana?
You will see Granger, Indiana on file for MS. TRACY FORD (FNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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