TRACY L FRY (APRN, FNP-C) – Nurse Practitioner, NPI 1174070205
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for TRACY L FRY (APRN, FNP-C)
3333 McIntosh Cir Ste 4
Joplin, MO 64804
Phone: (417) 347-8200
Type: Location
61980 E 225 RD
WYANDOTTE, OK 743702917
Phone: (913) 660-8742
Type: Mailing
1121 NEO LOOP
GROVE, OK 743446046
Phone: (877) 783-4441
Type: Location
PO BOX 3810
JOPLIN, MO 648033810
Phone: (417) 347-3649
Fax: (417) 347-9106
Type: Mailing
McIntosh Circle, Joplin, Newton County, Missouri, 64804, United States
JOPLIN, MO 64804
Phone: (417) 347-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $407.
Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Lundbeck LLC ($89).
Total Amount
$407
General + Research + Ownership
Payments
22
Total payment records
General Amount
$407
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $89 |
| Otsuka America Pharmaceutical, Inc. | $77 |
| ABBVIE INC. | $42 |
| GlaxoSmithKline, LLC. | $34 |
| Ultragenyx Pharmaceutical Inc. | $29 |
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: 2024-01-23
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 |
|---|---|---|---|---|
| I20180605002454 | I | Nurse Practitioner | MO | TBD |
| I20210422000332 | I | Nurse Practitioner | OK | TBD |
| I20240123000285 | I | Nurse Practitioner | AR | 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 | 215 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 66 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 56 | 26 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 52 | 12 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 48 | 44 | $0 |
Insurance plans in this area (ZIP 64804)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | FL | |
| - | AR | |
| - | AR | |
| - | AR | |
| Family Practice | AR | |
| Family Practice | AR |
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