Active NPI
Tracy Jevon Nelson, FNP
- Family Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-124139
- Practice address
- 1159 Spring Hill Ave
Mobile, AL 36604-2725 - Phone
- (251) 554-1121
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-124139 | AL | Primary |
Addresses
Primary practice location
1159 Spring Hill Ave
Mobile, AL 36604-2725
Mailing address
1159 Spring Hill Ave
Mobile, AL 36604-2725
Phone (251) 432-4188
Other practice location 1
855 Downtowner Blvd
Mobile, AL 36609-5403
Phone (334) 288-7808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2318 Saint Stephens Rd
Mobile, AL 36617-3615
Phone (251) 308-5689
Hospital & facility affiliations
- Mobile Infirmary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Health Alabama LLC | Current | Accepting new patients | |
| Smith & Gayle Medical Center, LLC | Current | Accepting new patients |
Locations
3980 Airport Blvd
#I
Mobile, AL 36608
Phone (251) 214-0908
1159 Spring Hill Ave
Mobile, AL 36604
Phone (251) 432-4188
2318 Saint Stephens Rd
Mobile, AL 36617
Phone (251) 308-5689
Interoperability endpoints
- https://api.platform.athenahealth.com/21104/brand/1/csg/1/fhir/r4
- tracy.nelson.1@21104.direct.athenahealth.com
- tracy.nelson.1@27478.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Mobile, AL
- NPI 1063123602
-
- Primary Care Clinic/Center
- Mobile, AL
- NPI 1194806844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1003586496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 SPRING HILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042725",
"telephone_number": "251-432-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 SPRING HILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042725",
"telephone_number": "251-554-1121"
}
],
"practiceLocations": [
{
"address_1": "855 Downtowner Blvd",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366095403",
"country_code": "US",
"telephone_number": "334-288-7808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "TRACY",
"middle_name": "JEVON",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-124139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.