Individual provider Active NPI

Tracey Lynn Perez, FNP-C

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1144062894
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1168575 Issued in TX
Practice address
2603 Hospital Dr
Victoria, TX 77901-5753
Phone
(361) 220-7998
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1168575 TX Primary
Registered Nurse 163W00000X 954051 TX

Addresses

Primary practice location

2603 Hospital Dr
Victoria, TX 77901-5753

Mailing address

2603 Hospital Dr
Victoria, TX 77901-5753
Phone (361) 220-7998

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
I20250505000419 TX Practitioner - Nurse Practitioner 3577080522 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
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
954051TXMDRegistered Nurse
1168575TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quill Medical TX CurrentSince Oct 8, 2025 Accepting new patients
Citizen'S Medical Center County of Victoria Family CurrentSince May 5, 2025 Accepting new patients
Greater Houston Interventional Pain Associates CurrentSince Jan 1, 2026 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

4747 Bellaire Blvd
Ste 101
Bellaire, TX 77401
Phone (713) 663-7672

4949 Westgrove Dr
Dallas, TX 75248

930 Roy Richard Dr
Selma, TX 78154
Phone (210) 566-9100

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

206 E Anaqua Ave
Victoria, TX 77901

2603 Hospital Dr
Victoria, TX 77901
Phone (361) 576-2110

Organizations & group practices 4

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 1

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1144062894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015753",
            "telephone_number": "361-220-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015753",
            "telephone_number": "361-220-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168575",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "954051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.