Individual provider Active NPI

Tracey E. Hellgren, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1184664724
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0060680 Issued in FL
Practice address
2911 Roberts Avenue
Tallahassee, FL 32310-4542
Phone
(850) 644-1543
Fax
(855) 230-7421
NPI assigned
Jun 8, 2006
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0060680 FL Primary

Addresses

Primary practice location

2911 Roberts Avenue
Tallahassee, FL 32310-4542

Mailing address

2911 Roberts Avenue
Tallahassee, FL 32310-4542
Phone (850) 644-1543

Other identifiers 1

IdentifierTypeStateIssuer
056282300MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080419000060 FL Practitioner - Family Practice 1850473331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Practice Plan IncGroup PAC ID 3971608993, 27 clinicians

Practice addresses (Care Compare)

2911 Roberts Ave
Tallahassee, FL 32310-5007
Phone (850) 644-1543

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.33 of 100Reported as group
Quality
89.31
Promoting interoperability
100
Improvement activities
40
Cost
68.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0060680FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patients First Lake Ella Medical Center P a Family Medicine CurrentSince Sep 25, 2018 Accepting new patients
Florida Medical Practice Plan Inc CurrentSince Apr 1, 2019 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Florida Medial Practice Plan CurrentSince Feb 26, 2023 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

1115 W Call St
Tallahassee, FL 32304
Phone (850) 644-1543

1160 Apalachee Pkwy
Tallahassee, FL 32301
Phone (850) 878-8843

1301 Hodges Dr
Tallahassee, FL 32308
Phone (850) 431-5430

1690 N Monroe St
Tallahassee, FL 32303
Phone (850) 385-2222

1705 Mahan Dr
Tallahassee, FL 32308
Phone (850) 877-7164

2000 Levy Ave
Ste 337
Tallahassee, FL 32310
Phone (850) 644-1855

2907 Kerry Forest Pkwy
Tallahassee, FL 32309
Phone (850) 668-3380

2911 Roberts Ave
Tallahassee, FL 32310
Phone (850) 644-1542

3258 N Monroe St
Tallahassee, FL 32303
Phone (850) 562-2010

3401 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 386-2266

4449 Meandering Way
Tallahassee, FL 32308
Phone (850) 640-1416

505 Appleyard Dr
Tallahassee, FL 32304
Phone (850) 576-8988

590 Lanier Ave W
Fayetteville, GA 30214

Interoperability endpoints

  • Direct secure messaging: tracey.hellgren.1@19268.direct.athenahealth.com

Organizations & group practices 6

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 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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1184664724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ROBERTS AVENUE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323104542",
            "telephone_number": "850-644-1543",
            "fax_number": "855-230-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ROBERTS AVENUE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323104542",
            "telephone_number": "850-644-1543",
            "fax_number": "855-230-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLGREN",
        "first_name": "TRACEY",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0060680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056282300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.