Individual provider Active NPI

Tracey Elizabeth Beard Hansel, M.D.

  • Internal Medicine Physician
  • Nags Head, NC
National Provider Identifier
1013183904
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020-01413 Issued in NC
Practice address
111 E Baltic St
Nags Head, NC 27959-0108
Phone
(252) 216-1117
NPI assigned
May 1, 2008
Last updated
May 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2020-01413 NC
Internal Medicine Physician 207R00000X 2020-01413 NC Primary

Addresses

Primary practice location

111 E Baltic St
Nags Head, NC 27959-0108

Mailing address

101 W Airstrip Rd Ste 253
Kill Devil Hills, NC 27948-8314
Phone (252) 216-1117

Other identifiers 1

IdentifierTypeStateIssuer
03543648MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130311000171 NY Practitioner - Internal Medicine 9335395185 Reassigns benefits to 1 organization
I20210907003603 NC Practitioner - Internal Medicine 9335395185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2020-01413NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince May 1, 2014 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 30, 2021 Accepting new patients
MVHS Inc CurrentSince May 1, 2014 Accepting new patients
Outer Banks Acupuncture, PLLC Acupuncturist Past Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

Interoperability endpoints

  • Direct secure messaging: thansel@hiemail.healtheconnections.org
  • Direct secure messaging: tracey.hansel.1@14533.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1013183904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W AIRSTRIP RD STE 253",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488314",
            "telephone_number": "252-216-1117",
            "fax_number": "717-613-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E BALTIC ST",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279590108",
            "telephone_number": "252-216-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEL",
        "first_name": "TRACEY",
        "middle_name": "ELIZABETH BEARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "2020-01413",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-01413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03543648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.