Tracy Ann Threat, FNP-BC - Medicare Nurse Practitioner in Detroit, MI

Tracy Ann Threat, FNP-BC is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Mary Mercy Physician Practices and her current practice location is 5555 Conner St, Suite 2691, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 579-1182.

Tracy Ann Threat is licensed to practice in Michigan (license number 4704223743) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891951711.

Contact Information

Tracy Ann Threat, FNP-BC
5555 Conner St, Suite 2691,
Detroit, MI 48213-3448
(313) 579-1182
(313) 579-5128

Map and Direction




Provider's Profile

Full NameTracy Ann Threat
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location5555 Conner St, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tracy Ann Threat graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1891951711
  • Provider Enumeration Date: 07/30/2008
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810057726
  • Enrollment ID: I20081122000092

Medical Identifiers

Medical identifiers for Tracy Ann Threat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891951711NPI-NPPES
11971276OtherMICAQH ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704223743 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Mary Mercy Physician Practices45877428047

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tracy Ann Threat allows following entities to bill medicare on her behalf.
Entity NameSt Mary Mercy Physician Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568630077
PECOS PAC ID: 4587742804
Enrollment ID: O20080425000614

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Ann Threat is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tracy Ann Threat, FNP-BC
5555 Conner St Ste 2691,
Detroit, MI 48213-3812

Ph: (313) 692-8400
Tracy Ann Threat, FNP-BC
5555 Conner St, Suite 2691,
Detroit, MI 48213-3448

Ph: (313) 579-1182

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.