Dr. Tracy Lynn Kroeger, PhD
Psychologist, Clinical in Jenison, MI. Individual provider (NPI-1).
NPI number1295854263
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295854263
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tracy Lynn Kroeger
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2007
- Last updated
- Jul 8, 2007
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 |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301011127 | MI | Yes |
Practice location
7086 8th AveJenison, MI 49428-9352
Phone 616-667-9551 · Fax 616-667-9552
Mailing address
7086 8th AveJenison, MI 49428-9352
Phone 616-667-9551 · Fax 616-667-9552
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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