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MS. TRACY MICHELLE DZUGAN MSFNPPMHNP-BCAPRN NPI 1427474410


NPI Information

NPI: 1427474410
Provider Name: MS. TRACY MICHELLE DZUGAN, MS,FNP,PMHNP-BC,APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
15201 N CLEVELAND AVE STE 1010
NORTH FORT MYERS, FL
ZIP 33903
Phone: (833) 674-2500
Get Directions

MS. Tracy Michelle Dzugan, MS,FNP,PMHNP-BC,APRN is a primary care nurse practitioner in North Fort Myers, FL with 11 years of experience. MS. Tracy Michelle Dzugan, MS,FNP,PMHNP-BC,APRN NPI is 1427474410. 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:

15201 N CLEVELAND AVE STE 1010
NORTH FORT MYERS, FL
ZIP 33903-717
Phone: (833) 674-2500
Fax: (239) 599-4126

The NPI 1427474410 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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 3/14/2014 and was last updated on 12/22/2023.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN9364680FLORIDANo
2363LP2300XNurse PractitionerPrimary CareAPRN9364680FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1011817700MEDICAIDFLORIDA

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: 5/5/2024

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.