TRACI N PHILLIPS (CNP) – Acute Care Nurse Practitioner, NPI 1225381833

TRACI N PHILLIPS (CNP) is a healthcare provider. based in Fairfield, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.13933-NP (OH). The NPI Number for TRACI N PHILLIPS (CNP) is 1225381833

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TRACI N PHILLIPS (CNP)
NPI
1225381833
Phone
(513) 682-6975
Address
3000 MACK RD
Enumeration Date
19 October 2012
Last Update Date
3 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135597175
Graduation Year
2012 (14 years ago)
PAC ID
5496908105
Group Practice PAC ID
3971907759
Professional Enrollment ID
I20130109000054
Address ID
OH452302163CI8000XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TRACI N PHILLIPS (CNP)

  • 3000 MACK RD

    STE 120

    FAIRFIELD, OH 450145335

    Phone: (513) 682-6975

    Fax: (513) 682-6976

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $228.

Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($129).

Total Amount

$228

General + Research + Ownership

Payments

5

Total payment records

General Amount

$228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-01-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130109000054INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45014)

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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: 3971907759View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOH
Infectious DiseaseOH
P S Y C H I A T R YOH
N E U R O L O G YOH
General SurgeryOH
Orthopedic Surgery, Sports MedicineOH
Surgical OncologyOH
P S Y C H I A T R YFL
Thoracic SurgeryCA
General SurgeryOH

Reviews

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Frequently asked questions

How is TRACI N PHILLIPS (CNP) identified in CMS data?
CMS-hosted NPPES data lists TRACI N PHILLIPS (CNP) with NPI 1225381833.
Can I rely on TRACI N PHILLIPS (CNP) being an active provider?
As of the registry snapshot, TRACI N PHILLIPS (CNP) is marked active.
What healthcare role does TRACI N PHILLIPS (CNP) hold?
Scheduling teams often label TRACI N PHILLIPS (CNP) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TRACI N PHILLIPS (CNP)?
TRACI N PHILLIPS (CNP)'s geographic hint is Fairfield, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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