Individual provider Active NPI

Tracy Jevon Nelson, FNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1003586496
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-124139 Issued in AL
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

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220000011 AL Practitioner - Nurse Practitioner 3577090158 Reassigns benefits to 2 organizations

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
Sage Health Alabama LLCGroup PAC ID 9537521182, 9 clinicians

Practice addresses (Care Compare)

2318 Saint Stephens Rd
Mobile, AL 36617-3615
Phone (251) 308-5689

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Health Alabama LLC CurrentSince Oct 6, 2025 Accepting new patients
Smith & Gayle Medical Center, LLC CurrentSince Sep 11, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/21104/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tracy.nelson.1@21104.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.