TRACY L ROCKEFELLER (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1346472057
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,469 NURSE PRACTITIONER in PA
Provider Addresses for TRACY L ROCKEFELLER (CRNP)
8 CHURCH STREET MEDICAL OFFICE BLDG 4TH FLOOR
WILKES BARRE, PA 187659378
Phone: (570) 808-3100
Type: Location
1258 PURDYTOWN TPKE
LAKEVILLE, PA 184386793
Phone: (570) 647-9277
Fax: (570) 227-0084
Type: Location
8 Church Street Medical Office Bldg 4th Floor
Wilkes Barre, PA 187659378
Phone: (570) 808-3100
Type: Location
615 W Main St
Lansdale, PA 194462011
Phone: (215) 938-2863
Type: Location
1154 BEAVER LAKE DR
LAKE ARIEL, PA 184368013
Phone: (267) 401-0669
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 $293.
Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($70).
Total Amount
$293
General + Research + Ownership
Payments
15
Total payment records
General Amount
$293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-06-30
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 |
|---|---|---|---|---|
| I20110630000366 | I | Nurse Practitioner | PA | 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 | 24 | 12 | $0 |
Insurance plans in this area (ZIP 18765)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | PA | 90792 | Psychiatric diagnostic evaluation with medical services | 44 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MN | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA |
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