Tracey K Marty, CRNA
Nurse Anesthetist, Certified Registered in Madison, WI. Individual provider (NPI-1).
NPI number1184689366
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1184689366
- Entity type
- Individual (NPI-1)
- Name
- Tracey K Marty
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2006
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95758-030 | WI | Yes |
Practice location
700 S Park StSt Marys Hospital Dean Medical Center
Madison, WI 53715-1849
Phone 608-258-6975 · Fax 608-258-5222
Mailing address
700 S Park StSt Marys Hospital Dean Medical Center
Madison, WI 53715-1849
Phone 608-258-6975 · Fax 608-258-5222
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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