Active NPI
Tracy N Fox Nelson, P.A.
- Physician Assistant
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102098
- Practice address
- 1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809 - Phone
- (850) 916-3700
- Fax
- (850) 916-3710
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102098 | FL | Primary |
Addresses
Primary practice location
1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809
Mailing address
PO Box 30532
Pensacola, FL 32503-1532
Phone (850) 916-3700
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL2119 | Other | FL | MEDICARE RAILROAD |
| 59193887 | Other | AL | BCBS ALABAMA - GBO |
| Y01C8 | Other | FL | BLUE CROSS BLUE SHIELD |
| 115029 | Medicaid | AL | |
| P00397348 | Other | FL | MEDICARE RAILROAD |
| 000215800 | Medicaid | FL | |
| 592-09448 | Other | AL | BLUE CROSS BLUE SHIELD |
| 59197534 | Other | AL | BCBS ALABAMA |
| 9147144 | Other | AETNA PIN | |
| P00869427 | Other | MEDICARE RAILROAD |
Other names 1
- Tracy N Fox
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Alabama College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7808
1110 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-4803
Phone (850) 437-8810
9400 University Pkwy
Pensacola, FL 32514-5485
Hospital & facility affiliations
- Peoples Home Health LLC
- Gulf Breeze Hospital
- Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.01 of 100
- Quality
- 62.34
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9102098 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Group LLC | Current | Accepting new patients | |
| Baptist Medical Group LLC | Current | Accepting new patients |
Locations
1040 Gulf Breeze Pkwy
Ste 204
Gulf Breeze, FL 32561
Phone (850) 469-7771
1114 Gulf Breeze Pkwy
Gulf Breeze, FL 32561
Phone (850) 469-7975
1040 Gulf Breeze Pkwy
Ste 203
Gulf Breeze, FL 32561
Phone (850) 916-8463
9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256
9400 University Pkwy
Ste 101B
Pensacola, FL 32514
Phone (850) 208-6130
1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Pensacola, FL
- NPI 1376779892
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1629749692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- Home Health Agency
- Pensacola, FL
- NPI 1801931837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1205901469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30532",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325031532",
"telephone_number": "850-916-3700",
"fax_number": "850-916-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 200",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-916-3700",
"fax_number": "850-916-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX NELSON",
"first_name": "TRACY",
"middle_name": "N",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CL2119",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ALABAMA - GBO",
"identifier": "59193887",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y01C8",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115029",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00397348",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000215800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "592-09448",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ALABAMA",
"identifier": "59197534",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "9147144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00869427",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "FOX",
"middle_name": "N",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.