TRACY LYN SHEELY BASBALLE LPN NPI 1609724426

NPI Information

  • NPI: 1609724426
  • Provider Name: TRACY LYN SHEELY BASBALLE, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 1400 MADISON AVE STE 502
    MANKATO, MN
    ZIP 56001
  • Phone: (507) 387-2939

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NPI Details

Tracy Lyn Sheely Basballe, LPN is a licensed practical nurse in Mankato, MN. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Tracy Lyn Sheely Basballe, LPN NPI is 1609724426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 MADISON AVE STE 502
MANKATO, MN
ZIP 56001-467
Phone: (507) 387-2939
Fax: (612) 713-6733

The enumeration date for this NPI number is 3/18/2026 and was last updated on 3/18/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NurseL571542MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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