Tracy Shanoha Lavette Wofford, NP - Medicare Nurse Practitioner in Brooklyn Park, MN

Tracy Shanoha Lavette Wofford, NP is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn Park, Minnesota. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hennepin Healthcare System Inc and her current practice location is 10174 Florida Cir N, Brooklyn Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 803-9344.

Tracy Shanoha Lavette Wofford is licensed to practice in Minnesota (license number R175874-6) 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 1396134284.

Contact Information

Tracy Shanoha Lavette Wofford, NP
10174 Florida Cir N,
Brooklyn Park, MN 55445-2767
(612) 803-9344
Not Available

Map and Direction




Provider's Profile

Full NameTracy Shanoha Lavette Wofford
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location10174 Florida Cir N, Brooklyn Park, Minnesota
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 Shanoha Lavette Wofford graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1396134284
  • Provider Enumeration Date: 01/14/2015
  • Last Update Date: 01/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0648597799
  • Enrollment ID: I20150330000327

Medical Identifiers

Medical identifiers for Tracy Shanoha Lavette Wofford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396134284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R175874-6 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hennepin County Medical Center 1Minneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hennepin Healthcare System Inc4789684861804

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 Shanoha Lavette Wofford allows following entities to bill medicare on her behalf.
Entity NameHennepin Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138136
PECOS PAC ID: 4789684861
Enrollment ID: O20070207000467
Entity NameRegional Physician Services Of Minnesota Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588998744
PECOS PAC ID: 3678839842
Enrollment ID: O20171106000624

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 Shanoha Lavette Wofford 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 Shanoha Lavette Wofford, NP
10174 Florida Cir N,
Brooklyn Park, MN 55445-2767

Ph: (612) 803-9344
Tracy Shanoha Lavette Wofford, NP
10174 Florida Cir N,
Brooklyn Park, MN 55445-2767

Ph: (612) 803-9344

Reviews and Comments


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Phone: 612-873-6963    

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.