Individual provider Active NPI

Sue-Ann-Marie Scott Tracy, APRN, FNP-BC

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1144956418
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019114 Issued in FL
Practice address
6431 N W St
Pensacola, FL 32505-1719
Phone
(850) 494-4600
Fax
(855) 901-2936
NPI assigned
Jul 28, 2022
Last updated
Aug 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9314446 FL
Registered Nurse 163W00000X 1-180560 AL
Family Nurse Practitioner 363LF0000X APRN11019114 FL Primary

Addresses

Primary practice location

6431 N W St
Pensacola, FL 32505-1719

Mailing address

6431 N W St
Pensacola, FL 32505-1719
Phone (251) 379-7229

Other names 1

  • Ms. Sue-Ann-Marie Scott Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221020003424 FL Practitioner - Nurse Practitioner 5092181792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Primary Care IncGroup PAC ID 6002718343, 21 clinicians

Practice addresses (Care Compare)

6431 N W St
West Florida Primary Care
Pensacola, FL 32505-1719
Phone (850) 474-3660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-180560ALMDRegistered Nurse
RN9314446FLMDRegistered Nurse
APRN11019114FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Primary Care Inc CurrentSince Aug 15, 2022 Accepting new patients
Pensacola Primary Care Inc CurrentSince Aug 15, 2022 Accepting new patients
Pensacola Primary Care, Inc. Past Accepting new patients

Locations

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

6431 N W St
Pensacola, FL 32505
Phone (850) 474-3660

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: sueannmarie.tracy@hca5.eclinicaldirectplus.com

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, 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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1144956418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051719",
            "telephone_number": "251-379-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051719",
            "telephone_number": "850-494-4600",
            "fax_number": "855-901-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "SUE-ANN-MARIE",
        "middle_name": "SCOTT",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-08-06",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9314446",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-180560",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE-ANN-MARIE",
            "last_name": "SCOTT",
            "prefix": "MS.",
            "credential": "SAM TRACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.