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Active NPI 1699767020 Individual Practitioner Female Practitioner

Tracy Claire Kutsenkow , NP

Nurse Practitioner • Selma, CA

Professional Overview & Biography Verified Profile Summary

Tracy Kutsenkow, NP is a registered healthcare professional specializing in Nurse Practitioner in Selma, CA. Practice services are available at 2511 LOGAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2511 Logan St
Logan Street Medical Group

Selma, CA 936623012

Telephone 5598962624
Fax 5598963235
Associated Practice Facility / Clinic
🏢 Stanley Y. Louie Do, Inc Facility NPI 1942200746

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Selma, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Selma, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 308978

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Simerjit Riar , PA

Physician Assistant - Medical

NPI 1154518363

Physician Assistant

Jennifer Tarazon , FNP-C

Nurse Practitioner - Family

NPI 1184609208

Family Nurse Practitioner (Certified)

Dr. Jaishree Rajagopalan , MD

Internal Medicine - Cardiovascular Disease

NPI 1356340764

Doctor of Medicine (M.D.)

Cynthia Guerra , MSN FNP C

Nurse Practitioner

NPI 1457389215

MSNFNPC

Dr. Stanley Louie , DO

Family Medicine

NPI 1548260441

Doctor of Osteopathic Medicine (D.O.)

Laura Merritt

Nurse Practitioner - Acute Care

NPI 1881865152

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2008

Registered at 2511 LOGAN ST, LOGAN STREET MEDICAL GROUP, SELMA, CA 936623012 (Tel: 5598962624)

📍
Updated Business Mailing Address May 07, 2008

Registered at 4551 N COLLEGE AVE, FRESNO, CA 937043808 (Tel: 5594356477)

👤
Provider Name / Credentials Updated May 07, 2008

Recorded as TRACY KUTSENKOW, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2008

Nurse Practitioner (License #308978 in CA)

🟢
Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699767020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: May 07, 2008
Sole Proprietor: No

Mailing Address

4551 N College Ave

Fresno, CA 937043808

Phone: 5594356477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.