Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracey Lynn Judy, APRN-CNP

Individual provider Nurse Practitioner · NPI 1770171225

Tracey Lynn Judy, APRN-CNP is a Nurse Practitioner in Charleston, West Virginia. Qualified in 2016, 10 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
10
Licensed in
WV
In the registry since
2021
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Practice location Address checks out

3100 Maccorkle Ave SE Ste 411
Charleston, WV 25304-1230
Phone: (304) 343-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 108128 (WV)

Record details

NPI number1770171225
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJanuary 9, 2021
Certification dateJanuary 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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