MS. MAURIE DOLORES TRACY (ANP-BC) – Adult Health Nurse Practitioner, NPI 1053630103
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MS. MAURIE DOLORES TRACY (ANP-BC)
15201 Olive Blvd
Chesterfield, MO 630171810
Phone: (314) 925-0903
Fax: (314) 764-2279
Type: Location
10426 BAUR BLVD
SAINT LOUIS, MO 631321905
Phone: (314) 925-0903
Fax: (314) 764-2279
Type: Mailing
6435 CHIPPEWA ST
SAINT LOUIS, MO 631092104
Phone: (314) 353-1870
Fax: (314) 353-0315
Type: Mailing
1335 STRASSNER DR
BRENTWOOD, MO 631441872
Phone: (636) 898-8532
Fax: (314) 270-0088
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,345.
Total Amount is formed as General ($1,345) + Research ($0) + Ownership ($0) = $1,345.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($207).
Total Amount
$1,345
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $207 |
| Amgen Inc. | $132 |
| ABBVIE INC. | $125 |
| Neurocrine BioSciences, Inc. | $122 |
| Kyowa Kirin, Inc. | $122 |
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: 2013-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20130715000580 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 44 | $0 |
| 69210 | Removal of impacted ear wax | 64 | 39 | $0 |
| 99424 | Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 60 | 27 | $0 |
| 99425 | Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month | 37 | 19 | $0 |
Insurance plans in this area (ZIP 63017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospitalist | MO | |
| Internal Medicine | IL | |
| Internal Medicine | MI | |
| Nurse Practitioner | IL | |
| Hospitalist, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO |
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