TRACIE L DAVIS – Family Nurse Practitioner, NPI 1639948946
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for TRACIE L DAVIS
445 Clifty Dr
Madison, IN 472501607
Phone: (812) 273-5372
Fax: (812) 273-5741
Type: Location
1373 E State Road 62 Ste 2B
Madison, IN 472507328
Phone: (812) 273-5372
Fax: (812) 801-5741
Type: Location
309 11th St
Carrollton, KY 410081435
Phone: (502) 732-3272
Fax: (502) 732-3284
Type: Location
3118 E 10th St Ste C
Jeffersonville, IN 471305904
Phone: (812) 280-9355
Fax: (812) 285-1487
Type: Location
3605 Northgate Ct Ste 110
New Albany, IN 471506400
Phone: (812) 949-5749
Fax: (812) 949-5794
Type: Location
2051 Clevidence Blvd Ste A
Clarksville, IN 471292278
Phone: (812) 282-1720
Fax: (812) 280-6636
Type: Location
8535 E Phillip Dr
Vevay, IN 470439478
Phone: (765) 620-6600
Type: Location
1373 E State Road 62
Madison, IN 472507328
Phone: (812) 801-0152
Fax: (812) 801-0150
Type: Location
8535 E PHILLIP DR
VEVAY, IN 470439478
Phone: (765) 620-6600
Type: Mailing
1373 E STATE ROAD 62
MADISON, IN 472507328
Phone: (812) 801-0152
Fax: (812) 801-0150
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: 2026-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240326002548 | I | Nurse Practitioner | KY | TBD |
| I20241216000382 | I | Nurse Practitioner | IN | TBD |
| I20260224000415 | I | Nurse Practitioner | NH | 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 47250)
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