MS. TRACY ANN ANDERSEN PNP NPI 1295826717

NPI Information

  • NPI: 1295826717
  • Provider Name: MS. TRACY ANN ANDERSEN, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3501 OLD JACKSONVILLE RD
    SPRINGFIELD, IL
    ZIP 62711
  • Phone: (217) 528-7541

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NPI Details

MS. Tracy Ann Andersen, PNP is a pediatrics nurse practitioner in Springfield, IL. MS. Tracy Ann Andersen, PNP NPI is 1295826717. 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:

3501 OLD JACKSONVILLE RD
SPRINGFIELD, IL
ZIP 62711-358
Phone: (217) 528-7541

The NPI 1295826717 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 enumeration date for this NPI number is 9/28/2006 and was last updated on 7/31/2025.

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
1363LP0200XNurse PractitionerPediatricsAPRN1006087FLORIDANo
2363LP0200XNurse PractitionerPediatrics209002042ILLINOISYes

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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