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

Tracy A Proctor, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306489174

Tracy A Proctor, CRNP is a Nurse Practitioner in Youngwood, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Stacey Renee Tesauro Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1050 Depot St
Youngwood, PA 15697-1360
Phone: (724) 635-0591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP020961 (PA)

Record details

NPI number1306489174
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 23, 2019
Last updated in NPPESOctober 23, 2019
Mailing address1050 Depot St, Youngwood, PA 15697-1360

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Stacey Renee Tesauro Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare