Individual provider Active NPI

Tracy Ann Passley

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockingham, NC
National Provider Identifier
1013765189
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5021090 Issued in NC
Practice address
523 Rockingham Rd
Rockingham, NC 28379-3615
Phone
(910) 562-9882
Fax
(910) 562-9955
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11032583 FL
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 5021090 NC Primary

Addresses

Primary practice location

523 Rockingham Rd
Rockingham, NC 28379-3615

Mailing address

1440 NE 174TH St
North Miami Beach, FL 33162-1353
Phone (786) 370-1324

Other practice location 1

1440 NE 174th St
North Miami Beach, FL 33162-1353
Phone (786) 370-1324

Other practice location 2

120 Braemar Ct
Pinehurst, NC 28374-7207
Phone (910) 562-9882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241108001347 NC Practitioner - Nurse Practitioner 8820522196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandhills Behavioral Care, PLLCGroup PAC ID 5193080166, 19 clinicians

Practice addresses (Care Compare)

120 Braemar CT
Pinehurst, NC 28374-7207
Phone (910) 562-9882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11032583FLMDPsychiatric/Mental Health Nurse Practitioner
5021090NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Behavioral Care, PLLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

120 Braemar Ct
Pinehurst, NC 28374
Phone (910) 295-5567

523 Rockingham Rd
Rockingham, NC 28379
Phone (828) 360-4600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1013765189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 NE 174TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621353",
            "telephone_number": "786-370-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ROCKINGHAM RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793615",
            "telephone_number": "910-562-9882",
            "fax_number": "910-562-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 NE 174th St",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331621353",
            "country_code": "US",
            "telephone_number": "786-370-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Braemar Ct",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283747207",
            "country_code": "US",
            "telephone_number": "910-562-9882",
            "fax_number": "910-562-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSLEY",
        "first_name": "TRACY ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11032583",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.