Individual provider Active NPI

Tracy Floyd, APRN

  • Family Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1124789664
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048145 Issued in TX
Practice address
5848 Ivy Glen Dr
Grand Prairie, TX 75052-8787
Phone
(254) 715-3772
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 1048145 TX Primary

Addresses

Primary practice location

5848 Ivy Glen Dr
Grand Prairie, TX 75052-8787

Mailing address

5848 Ivy Glen Dr
Grand Prairie, TX 75052-8787
Phone (254) 715-3772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260309002973 TX Practitioner - Nurse Practitioner 7214410281 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)

742 E State Hwy 121
Lewisville, TX 75057-4113
Phone (866) 767-5268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1048145TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Medical Services PLLC CurrentSince Oct 31, 2025 Accepting new patients
Wellness and Wound Group a Professional Limited Liability Corporation CurrentSince Jan 19, 2026 Accepting new patients
6060 Spine/Joint, PLLC CurrentSince Oct 31, 2025 Accepting new patients

Locations

5454 Surrey Path
Ste 208
Frisco, TX 75034
Phone (469) 200-0117

742 E State Highway 121
Lewisville, TX 75057
Phone (214) 980-9400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1124789664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 IVY GLEN DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528787",
            "telephone_number": "254-715-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 IVY GLEN DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528787",
            "telephone_number": "254-715-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "TRACY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.