Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracie Foster

Individual provider Nurse Practitioner · NPI 1508258476

Tracie Foster is a Nurse Practitioner in Centralia, Illinois. Qualified in 2015, 11 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

1441 W Broadway
Centralia, IL 62801-5613
Phone: (618) 532-9050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1050 Martin Luther King Dr Ste 109, Centralia, IL 62801-3060 — (618) 532-0998

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209072853 (IL)

Record details

NPI number1508258476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2015
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing addressPo Box 955860, Saint Louis, MO 63195-3060

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Centralia