Tracy L Dysard, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

041-265219 Issued in IL

Practice address

20930 Dupont Blvd Unit 202
Georgetown, DE 19947-1724

Phone

(302) 202-3438

NPI assigned

Feb 14, 2006

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Beebe Physician Network, Inc.

  dba Beebe Medical Group

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992

  Family

  Medicare reassignment NPD
• Nutrihealth LLC

  • Internal Medicine Physician
  • Georgetown, DE
  • NPI 1013547637
  Medicare reassignment
• Nutrihealth LLC

  • Internal Medicine Physician
  • Milford, DE
  • NPI 1487387544
  NPD
• State of Delaware-Stockley

  • Intellectual Disabilities Intermediate Care Facility
  • Georgetown, DE
  • NPI 1962557561
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Freeport Memorial Hospital

  • Health Educator
  • Freeport, IL
  • NPI 1326880386
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1053385344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PHILLIPS HILL DR",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199661764",
            "telephone_number": "815-275-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD UNIT 202",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471724",
            "telephone_number": "302-202-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSARD",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041-265219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PRIOR 7/15/2007",
            "identifier": "L78334",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Dowling
• Dr Rita Zeidan, LLC
• Melinda Dubinski, LCSW
• Susan Claire Dunlap, RD, LDN
• Dynamic Therapy Services LLC (Pivot Physical Therapy of Mid Atlantic)
• Sally Marie Dziak, OTR
• Rachel Lynn Eaton
• Christine M. Eggert, SLP
• Donna Egolf
• Samir Tarek El-Sawaf, MD

• Family Nurse Practitioner in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.