TRACIE JO HENLINE (NP) – Family Nurse Practitioner, NPI 1053956532
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for TRACIE JO HENLINE (NP)
1100 S VAN DYKE RD
BAD AXE, MI 484139615
Phone: (989) 269-9521
Type: Location
176 BERNE RD
BAD AXE, MI 484139034
Phone:
Type: Mailing
75 BUSCHLEN RD
BAD AXE, MI 48413
Phone: (989) 623-9300
Fax: (989) 269-0243
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $353.
Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($77).
Total Amount
$353
General + Research + Ownership
Payments
19
Total payment records
General Amount
$353
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $77 |
| ABBVIE INC. | $59 |
| Novo Nordisk Inc | $45 |
| GlaxoSmithKline, LLC. | $33 |
| Lilly USA, LLC | $27 |
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: 2025-07-31
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 |
|---|---|---|---|---|
| I20200122001555 | I | Nurse Practitioner | MI | TBD |
| I20250522001116 | I | Nurse Practitioner | KY | TBD |
| I20250731000090 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 173 | 167 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 79 | 74 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 68 | 65 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 51 | 34 | $0 |
Insurance plans in this area (ZIP 48413)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Family Practice, General Practice | MI | |
| - | MI | |
| P O D I A T R Y | MI | |
| U R O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | MI |
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