Individual provider Active NPI

Tracy A Fershee, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1063977643
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218697 Issued in AZ
Practice address
9225 N 3Rd St Ste 205
Phoenix, AZ 85020-2464
Phone
(480) 867-7223
Fax
(480) 569-2967
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 218697 AZ Primary

Addresses

Primary practice location

9225 N 3Rd St Ste 205
Phoenix, AZ 85020-2464

Mailing address

111 E Dunlap Ave Ste 1-273
Phoenix, AZ 85020-7801
Phone (480) 867-7225

Other identifiers 1

IdentifierTypeStateIssuer
218697OtherAZARIZONA NURSING BOARD

Other names 1

  • Tracy Robles Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190328001687 AZ Practitioner - Nurse Practitioner 1557601572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maricopa Pulmonary Consultants LLCGroup PAC ID 7911273644, 9 clinicians

Practice addresses (Care Compare)

9225 N 3Rd St
Suite 205
Phoenix, AZ 85020-2464
Phone (480) 867-7223

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa Pulmonary Consultants LLC CurrentSince Jan 8, 2019 Accepting new patients

Locations

9225 N 3rd St
Ste 205
Phoenix, AZ 85020
Phone (480) 867-7223

111 E Dunlap Ave
Ste 1273
Phoenix, AZ 85020

9250 N 3rd St
Ste 2035
Phoenix, AZ 85020
Phone (602) 786-0175

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.

Hospital & facility affiliations 2

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1063977643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E DUNLAP AVE STE 1-273",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850207801",
            "telephone_number": "480-867-7225",
            "fax_number": "602-674-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202464",
            "telephone_number": "480-867-7223",
            "fax_number": "480-569-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERSHEE",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "218697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA NURSING BOARD",
            "identifier": "218697",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ROBLES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.