Provider Demographics
NPI:1427058841
Name:NAPP, TRACY E (MD)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:E
Last Name:NAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 WASHINGTON AVE N UNIT 303
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-2903
Mailing Address - Country:US
Mailing Address - Phone:320-420-1339
Mailing Address - Fax:
Practice Address - Street 1:1990 CONNECTICUT AVE S
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-2554
Practice Address - Country:US
Practice Address - Phone:320-257-5595
Practice Address - Fax:320-257-5596
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN405042085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP38571OtherHEALTH PARTNERS
MN965251015972OtherPREFERRED ONE
MN1588357OtherARAZ/ AMERICA'S PPO
MN531518200Medicaid
MN16-01292OtherMEDICA
MN300082001OtherRAILROAD MEDICARE
MN411772562OtherGREATWEST HEALTHCARE
MN9G488NAOtherBLUE CROSS BLUE SHIELD
MN121925C561OtherUCARE OF MINNESOTA
MN411772562OtherTRICARE
G02489Medicare UPIN
MN300001669Medicare PIN