TRACY SELINA ANDERSON, RN CM — NPI 1194863472 (Licensed & Credentialed Case Manager/Care Coordinator in BIG STONE GAP, VA)

CMS-1500 Box 24J / 33a • NPI

1194863472

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

3169 2ND AVENUE EAST, BIG STONE GAP, VA, 24219

Official NPPES Practice Location

Practice Phone & Referral Fax

(276) 523-8300

Fax: (276) 523-6964

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194863472 (TRACY SELINA ANDERSON, RN CM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1194863472` (NPI-1 Individual Practitioner)
Provider / Legal Name	TRACY SELINA ANDERSON, RN CM
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3169 2ND AVENUE EAST, BIG STONE GAP, VA, 24219
Practice Telephone / Fax	Tel: (276) 523-8300 \| Fax: (276) 523-6964
Administrative Mailing Address	PO BOX 9054, GRAY, TN, 37615-9054
Enumeration & Last Sync	Enumerated: 2007-02-01 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3169 2ND AVENUE EAST, BIG STONE GAP, VA, 24219

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TRACY SELINA ANDERSON, RN CM)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: VA \| License: `0001169659` \| Primary: Secondary
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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TRACY SELINA ANDERSON, RN CM (NPI #1194863472)