Individual provider Active NPI

Tracy M Cowart, CNM

  • Advanced Practice Midwife
  • Orlando, FL
National Provider Identifier
1053379875
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP 9311141 Issued in FL
Practice address
10524 Moss Park Rd Ste 204-603
Orlando, FL 32832-5898
Phone
(407) 974-7171
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP 9311141 FL Primary

Addresses

Primary practice location

10524 Moss Park Rd Ste 204-603
Orlando, FL 32832-5898

Mailing address

10107 Authors Way
Orlando, FL 32832-6349
Phone (407) 446-4041

Other identifiers 1

IdentifierTypeStateIssuer
004153500MedicaidFL

Other names 1

  • Tracy M Nielson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120507000099 FL Practitioner - Certified Nurse Midwife (CNM) 1557317328 Reassigns benefits to 1 organization
I20250314000635 TX Practitioner - Certified Nurse Midwife (CNM) 1557317328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

P O Box
Suite 1201
Pine Ridge, SD 57770-1201

P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP 9311141FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Sep 27, 2021 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Concierge Women's Care, LLC Advanced Practice Midwife CurrentSince Dec 6, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 12, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 27, 2021 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 12, 2025 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

10524 Moss Park Rd
Ste 204603
Orlando, FL 32832
Phone (407) 974-7171

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tracy.cowart.1@23211.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1053379875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 AUTHORS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326349",
            "telephone_number": "407-446-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 MOSS PARK RD STE 204-603",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325898",
            "telephone_number": "407-974-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWART",
        "first_name": "TRACY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP 9311141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004153500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "NIELSON",
            "middle_name": "M",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.