TRACY RICEWICK (AGNP-BC) – Gerontology Nurse Practitioner, NPI 1013365279

TRACY RICEWICK (AGNP-BC) is a healthcare provider. based in Ashland, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-BC. They hold a License No. APRN93802 (WV). The NPI Number for TRACY RICEWICK (AGNP-BC) is 1013365279

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
TRACY RICEWICK (AGNP-BC)
NPI
1013365279
Phone
(606) 408-6200
Address
PO BOX 2379
Enumeration Date
28 May 2016
Last Update Date
5 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7405340021
Graduation Year
2015 (11 years ago)
PAC ID
0547549982
Group Practice PAC ID
6103968029
Professional Enrollment ID
I20220114001352
Address ID
OH456381596IR912XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for TRACY RICEWICK (AGNP-BC)

  • PO BOX 2379

    ASHLAND, KY 411052379

    Phone: (606) 408-6200

    Fax: (606) 408-6612

    Type: Mailing

  • 130, 23rd Street, Geigers Crossing, Ashland, Boyd County, Kentucky, 41101, United States

    ASHLAND, KY 411012876

    Phone: (606) 329-9335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,111.

Total Amount is formed as General ($1,111) + Research ($0) + Ownership ($0) = $1,111.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($331).

Total Amount

$1,111

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2022-01-14

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
I20200124002530INurse PractitionerKYTBD
I20220114001352INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes292217$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3026$0
View full utilization report →

Insurance plans in this area (ZIP 41105)

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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: 6103968029View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YKY
Nurse PractitionerKY
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)KY
Cardiovascular Disease (Cardiology), Internal MedicineKY
-KY
Interventional CardiologyKY
Pulmonary Disease, Critical Care (Intensivists)KY
Plastic And Reconstructive SurgeryNY
Vascular Surgery, General SurgeryKY
-KY

Reviews

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Frequently asked questions

How do I look up TRACY RICEWICK (AGNP-BC) by NPI?
Use NPI 1013365279 when you need to reference TRACY RICEWICK (AGNP-BC) in forms, claims, or directories.
Is TRACY RICEWICK (AGNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TRACY RICEWICK (AGNP-BC)'s specialty in plain language?
Clinically, the directory lists TRACY RICEWICK (AGNP-BC) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for TRACY RICEWICK (AGNP-BC)?
We surface Ashland, Kentucky for TRACY RICEWICK (AGNP-BC) based on available NPPES addresses.
What if Ashland, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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