Individual provider Active NPI

Tracy Stephanie Estes, PHD, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1194919506
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000689 Issued in DE
Practice address
1400 Philadelphia Pike Ste A4
Wilmington, DE 19809
Phone
(302) 375-6746
Fax
(302) 375-6822
NPI assigned
Aug 29, 2007
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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 AC002617 MD
Family Nurse Practitioner 363LF0000X LG-0000689 DE Primary

Addresses

Primary practice location

1400 Philadelphia Pike Ste A4
Wilmington, DE 19809

Mailing address

1400 Philadelphia Pike Ste A4
Wilmington, DE 19809-1856
Phone (302) 375-6746

Other practice location 1

179 W Chestnut Hill Rd
Newark, DE 19713-2210
Phone (302) 453-1342

Other practice location 2

179 W Chestnut Hill Rd
Newark, DE 19713-2210
Phone (302) 453-1342

Other practice location 3

208 Plumtree Rd Ste B
Bel Air, MD 21015
Phone (410) 638-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150422001971 DE Practitioner - Nurse Practitioner 3274698741 Reassigns benefits to 2 organizations
I20231222000312 PA Practitioner - Nurse Practitioner 3274698741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Associates PCGroup PAC ID 2062491129, 4 clinicians

Practice addresses (Care Compare)

300 Evergreen Dr
Suite 180
Glen Mills, PA 19380-0010
Phone (610) 579-3610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AC002617MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates, LLC Family CurrentSince Jun 1, 2021 Accepting new patients
Premier Medical Associates Family CurrentSince Jun 1, 2021 Accepting new patients
Richard C Bradley, DPM, PC CurrentSince Nov 27, 2023 Accepting new patients
American Advanced Practice Network, P.C. CurrentSince Jul 1, 2020 Accepting new patients
Asthma and Allergy Associates PC CurrentSince Nov 27, 2023 Accepting new patients

Locations

620 Stanton Christiana Rd
Ste 101
Newark, DE 19713
Phone (302) 449-9314

1400 Philadelphia Pike
Ste A4
Wilmington, DE 19809
Phone (302) 472-4878

300 Evergreen Dr
Ste 180
Glen Mills, PA 19342
Phone (610) 579-3610

1536 McDaniel Dr
West Chester, PA 19380
Phone (610) 431-1816

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1194919506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PHILADELPHIA PIKE STE A4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091856",
            "telephone_number": "302-375-6746",
            "fax_number": "302-375-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PHILADELPHIA PIKE STE A4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19809",
            "telephone_number": "302-375-6746",
            "fax_number": "302-375-6822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 W Chestnut Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132210",
            "country_code": "US",
            "telephone_number": "302-453-1342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 W Chestnut Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132210",
            "country_code": "US",
            "telephone_number": "302-453-1342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Plumtree Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "21015",
            "country_code": "US",
            "telephone_number": "410-638-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTES",
        "first_name": "TRACY",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PHD, DNP, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002617",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.