Tracy McIlwean, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5013800 Issued in NC

Practice address

2111 Neuse Blvd Ste J
New Bern, NC 28560-4318

Phone

(252) 636-0300

Fax

(252) 565-0947

NPI assigned

Oct 27, 2020

Last updated

Dec 18, 2020By 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 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Crystal Coast Pain Management Center, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • New Bern, NC
  • NPI 1790747988
  Medicare reassignment NPD
• Crystal Coast Pain Management Center, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Morehead City, NC
  • NPI 1093209546
  NPD

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1104426584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE J",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "252-636-0300",
            "fax_number": "252-565-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE J",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "252-636-0300",
            "fax_number": "252-565-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWEAN",
        "first_name": "TRACY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-12-18",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "194786",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McGinnis Chiropractic Center, P.a.
• Kevin E. McGinnis, D.C.
• Lisa Pantano McGinty, RPH
• Victoria Hardy McGowen, DMD
• David Francis McGuire, PA-C
• Adam Bryce McKenzie, D.O.
• Kasey McKnight, PHARMD
• McLaughlin Chiropractic Center-New Bern PLLC (Frogley Chiropractic Center)
• Robert Joseph McLaughlin Jr., RPH
• Devonte McLemore

• Nurse Practitioner in New Bern, NC
• Providers in New Bern, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.