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TRACY N FOX NELSON P.A. NPI 1205901469


NPI Information

NPI: 1205901469
Provider Name: TRACY N FOX NELSON, P.A.
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: BAPTIST MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
1040 GULF BREEZE PKWY
SUITE 200
GULF BREEZE, FL
ZIP 32561
Phone: (850) 916-3700
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Tracy N Fox Nelson, P.A. is a physician assistant in Gulf Breeze, FL with 22 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Tracy N Fox Nelson, P.A. NPI is 1205901469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1040 GULF BREEZE PKWY
SUITE 200
GULF BREEZE, FL
ZIP 32561-809
Phone: (850) 916-3700
Fax: (850) 916-3710

The NPI 1205901469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 11/22/2006 and was last updated on 11/29/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA9102098FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AD230ZMEDICARE UPINFLORIDA
25789020001MEDICARE NSCFLORIDA
3AD230YMEDICARE PINFLORIDA
4P00869427OTHERMEDICARE RAILROAD
559193887OTHERALABAMABCBS ALABAMA - GBO
6Y01C8OTHERFLORIDABLUE CROSS BLUE SHIELD
7115029MEDICAIDALABAMA
8000215800MEDICAIDFLORIDA
9592-09448OTHERALABAMABLUE CROSS BLUE SHIELD
10P00397348OTHERFLORIDAMEDICARE RAILROAD
11CL2119OTHERFLORIDAMEDICARE RAILROAD
129147144OTHERAETNA PIN
1359197534OTHERALABAMABCBS ALABAMA
145789020004MEDICARE NSCFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.