NPIMap

Individual provider Active NPI

Felicia Nicole Tracy, NP

  • Family Nurse Practitioner
  • Boulder City, NV
National Provider Identifier
1235736828
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
834823 Issued in NV
Practice address
668 Otono Dr
Boulder City, NV 89005-3144
Phone
(951) 401-7481
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 834823 NV Primary

Addresses

Primary practice location

668 Otono Dr
Boulder City, NV 89005-3144

Mailing address

668 Otono Dr
Boulder City, NV 89005-3144

Other names 1

  • Felicia Nicole Lamberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817003945 NV Practitioner - Nurse Practitioner 6507261344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Endocrine Associates IncGroup PAC ID 2961499322, 64 clinicians

Practice addresses (Care Compare)

8775 Deer Springs Way
Las Vegas, NV 89149-0416
Phone (702) 877-1887

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • University Medical Center Hospital, Las Vegas, NV, CCN 290007
  • Encompass Health Rehabilitation Hospital of Hender Inpatient rehabilitation facility, Henderson, NV, CCN 293032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
834823NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Endocrine Associates Inc CurrentSince Mar 1, 2022 Accepting new patients
Nephrology & Endocrine Associates Inc Single Specialty CurrentSince Mar 1, 2022 Accepting new patients
Nathan Adelson Hospice Inc Single Specialty CurrentSince May 4, 2021 Accepting new patients
Trusted Primary Care Single Specialty CurrentSince May 4, 2021 Accepting new patients
True North Health Navigation LLC Single Specialty Past Accepting new patients

Locations

4141 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3162

3150 N Tenaya Way
Ste 350
Las Vegas, NV 89128
Phone (702) 243-6400

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1877

8775 Deer Springs Way
Las Vegas, NV 89149
Phone (702) 395-2488

500 S Rancho Dr
Ste 12
Las Vegas, NV 89106
Phone (702) 877-1877

2270 Commercial Dr
Ste B
Pahrump, NV 89048
Phone (702) 751-6700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1235736828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 OTONO DR",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890053144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 OTONO DR",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890053144",
            "telephone_number": "951-401-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "FELICIA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "834823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "LAMBERG",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder City, NV

Sources for this page

Verify at the official NPI Registry.