TRACY PACINI NPI 1154727097

NPI Information

NPI: 1154727097
Provider Name: TRACY PACINI
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL
ZIP 62040
Phone: (618) 512-1919
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Tracy Pacini is a psychiatric/mental health nurse practitioner in Granite City, IL. Tracy Pacini NPI is 1154727097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL
ZIP 62040-805
Phone: (618) 512-1919

The NPI 1154727097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2014 and was last updated on 3/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		2014037192	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	309.008272	ILLINOIS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	309.008272	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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