TRACEY R HAMMACK (NP) – Family Nurse Practitioner, NPI 1710144571

TRACEY R HAMMACK (NP) is a healthcare provider. based in Gautier, Mississippi. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 858974 (MS). The NPI Number for TRACEY R HAMMACK (NP) is 1710144571

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY R HAMMACK (NP)
NPI
1710144571
Phone
(228) 497-7576
Address
2101 HIGHWAY 90
Enumeration Date
20 May 2008
Last Update Date
17 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2288181111
Graduation Year
2007 (19 years ago)
PAC ID
4082785985
Group Practice PAC ID
6608190798
Professional Enrollment ID
I20111206000674
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for TRACEY R HAMMACK (NP)

  • 2101 HIGHWAY 90

    GAUTIER, MS 395535340

    Phone: (228) 497-7576

    Fax: (229) 497-8869

    Type: Mailing

  • 2819 DENNY AVE

    PASCAGOULA, MS 395815301

    Phone: (228) 762-3466

    Fax: (228) 762-6349

    Type: Location

  • PO BOX 589

    3351 MAIN STREET

    MILLBROOK, AL 360540012

    Phone: (334) 285-7808

    Fax: (334) 285-7810

    Type: Mailing

  • 3351, Main Street, Knollwood, Millbrook, Elmore County, Alabama, 36054, United States

    MILLBROOK, AL 360543218

    Phone: (334) 285-7808

    Fax: (334) 285-7810

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $747.

Total Amount is formed as General ($747) + Research ($0) + Ownership ($0) = $747.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Lilly USA, LLC ($225).

Total Amount

$747

General + Research + Ownership

Payments

39

Total payment records

General Amount

$747

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

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: 2018-07-16

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
I20090303000699INurse PractitionerLATBD
I20180716001722INurse PractitionerALTBD

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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit201201$0
G0444Annual depression screening, 5 to 15 minutes200200$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 39553)

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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: 6608190798View full group profile
NameSpecialtyState
-FL

Reviews

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Frequently asked questions

How is TRACEY R HAMMACK (NP) identified in CMS data?
CMS-hosted NPPES data lists TRACEY R HAMMACK (NP) with NPI 1710144571.
Is TRACEY R HAMMACK (NP) listed as active for patients and plans?
The listing shows TRACEY R HAMMACK (NP) as active in the NPI system.
What taxonomy line describes TRACEY R HAMMACK (NP)?
For research purposes, treat TRACEY R HAMMACK (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is TRACEY R HAMMACK (NP) based?
TRACEY R HAMMACK (NP) is tied to Gautier, Mississippi in the data we show; additional addresses may exist on the full record.
Is the information about TRACEY R HAMMACK (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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