TRACY L FRY (APRN, FNP-C) – Nurse Practitioner, NPI 1174070205

TRACY L FRY (APRN, FNP-C) is a healthcare provider. based in Joplin, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. A005462 (AR). The NPI Number for TRACY L FRY (APRN, FNP-C) is 1174070205

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TRACY L FRY (APRN, FNP-C)
NPI
1174070205
Phone
(417) 347-8200
Address
3333 McIntosh Cir Ste 4
Enumeration Date
7 September 2016
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4795243141
Graduation Year
2016 (10 years ago)
PAC ID
9537065933
Group Practice PAC ID
0042262495
Professional Enrollment ID
I20240123000285
Address ID
AR727613018SI451XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:9State licenses:4Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180605002454INurse PractitionerMOTBD
I20210422000332INurse PractitionerOKTBD
I20240123000285INurse PractitionerARTBD

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 minutes21594$0
99213Established patient office or other outpatient visit, 20-29 minutes12666$0
96372Injection of drug or substance under skin or into muscle5626$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5212$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4844$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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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: 0042262495View full group profile

Reviews

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Frequently asked questions

Can I verify TRACY L FRY (APRN, FNP-C) with an NPI only?
You can start verification with NPI 1174070205 for TRACY L FRY (APRN, FNP-C), then check state licensing separately.
Does the file indicate TRACY L FRY (APRN, FNP-C) is practicing under active NPI?
Directory data currently reports TRACY L FRY (APRN, FNP-C) as active.
What is TRACY L FRY (APRN, FNP-C)'s specialty?
The listing groups TRACY L FRY (APRN, FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does TRACY L FRY (APRN, FNP-C) list a practice location?
Patients near Joplin, Missouri may find TRACY L FRY (APRN, FNP-C) in results; validate coverage separately.
Why does TRACY L FRY (APRN, FNP-C) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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