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NPI Code Detail

MEDICARE: TRACY FEY TERRELL APRN

MEDICARE: TRACY FEY TERRELL APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3006100KY
2363LF0000XFamily Nurse Practitioner5023743NC
3363LF0000XFamily Nurse PractitionerSP035565PA
4363LF0000XFamily Nurse Practitioner0038148OH
5363LF0000XFamily Nurse Practitioner31410SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6P02312324OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000001274704OTHERANTHEM PROVIDER ID NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31865831OTHERKYWELLCARE OF KENTUCKY PROVIDER ID
4304651KYIPOTHERKYAETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
53060245OTHERUNITED HEALTHCARE PROVIDER ID
7CS1918600189OTHERCARESOURCE PROVIDER ID NUMBER
810576522OTHERPRIME HEALTH SERVICES PROVIDER ID NUMBER
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
108379074OTHERCIGNA PROVIDER ID NUMBER

General Provider Information

NPI Number : 1174754485
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY FEY TERRELL APRN
Provider Business Mailing Address
First Line : PO BOX 21890
Second Line :
City : BELFAST
State : ME
Zip : 04915-4115
Country : US
Telephone Number : 502-907-0356
Fax Number : 502-919-9780
Provider Business Practice Location Address
First Line : 9850 VON ALLMEN CT STE 201
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2855
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2009
Last Update Date : 04/14/2026

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