Individual provider Active NPI

Tracey Worsley, FNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1063165728
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R221389 Issued in MD
Practice address
3449 Wilkens Ave
Baltimore, MD 21229-5281
Phone
(410) 525-3818
NPI assigned
Feb 1, 2022
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 R221389 MD Primary

Addresses

Primary practice location

3449 Wilkens Ave
Baltimore, MD 21229-5281

Mailing address

3449 Wilkens Ave
Baltimore, MD 21229-5281
Phone (104) 525-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220518002483 MD Practitioner - Nurse Practitioner 5597142281 Reassigns benefits to 3 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

Practice addresses (Care Compare)

16 S Eutaw St
Suite 400
Baltimore, MD 21201-1699
Phone (410) 328-6866

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA CurrentSince Jun 1, 2025 Accepting new patients
St Agnes Healthcare Inc CurrentSince May 16, 2022 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince May 1, 2025 Accepting new patients
Maryland General Clinical Practice Group, Inc. Current Accepting new patients
St Agnes Healthcare Inc CurrentSince May 16, 2022 Accepting new patients

Locations

16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791

3449 Wilkens Ave
Ste 200
Baltimore, MD 21229
Phone (410) 525-3818

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Organizations & group practices 5

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 3

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1063165728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295281",
            "telephone_number": "104-525-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295281",
            "telephone_number": "410-525-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSLEY",
        "first_name": "TRACEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R221389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.