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

Tracy Sprague

Individual provider Adult Health Nurse Practitioner · NPI 1366988339

Tracy Sprague is a Nurse Practitioner in Columbia, Missouri. Qualified in 2016, 10 years ago. Practices with Advanced Senior Care of Missouri Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
10
Licensed in
KS
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

910 N College Ave Ste 4
Columbia, MO 65201-4797
Phone: (636) 642-1215
Fax: (573) 234-4799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 53-77498 (KS)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 53-77498 (KS)

Record details

NPI number1366988339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2017
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address59 Copperas Rd, Eldon, MO 65026-4838

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 Advanced Senior Care Of Missouri Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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