Individual provider Active NPI

Tracey Lynn Carter, CRNP

  • Family Nurse Practitioner
  • McGrath, AK
National Provider Identifier
1306247796
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
154364 Issued in AK
Practice address
10 DNR Rd
MC Grath, AK 99627-0159
Phone
(907) 524-3299
NPI assigned
Sep 4, 2014
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9399811 FL
Family Nurse Practitioner 363LF0000X 1-105493 AL
Family Nurse Practitioner 363LF0000X 154364 AK Primary
Registered Nurse 163W00000X 1-105493 AL

Addresses

Primary practice location

10 DNR Rd
MC Grath, AK 99627-0159

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8901

Other practice location 1

4300 W Main St Ste 300
Dothan, AL 36305-1313
Phone (334) 446-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX, AK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160712001663 AL Practitioner - Nurse Practitioner 4284926254 Reassigns benefits to 1 organization
I20200128000038 TX Practitioner - Nurse Practitioner 4284926254 Reassigns benefits to 4 organizations
I20220817000613 AK Practitioner - Nurse Practitioner 4284926254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians
Metlakatla Indian CommunityGroup PAC ID 5890691315, 19 clinicians

Practice addresses (Care Compare)

10 DNR Rd
MC Grath, AK 99627-0159
Phone (907) 729-6799

563 Brendible St
Metlakatla, AK 99926
Phone (907) 886-4741

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-105493ALMDRegistered Nurse
154364AKMDFamily Nurse Practitioner
ARNP 9399811FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Municipality of Skagway Family CurrentSince Aug 3, 2022 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Apr 1, 2024 Accepting new patients
Southcentral Foundation Current Accepting new patients
Yakutat Tribal Health Board CurrentSince Jan 3, 2024 Accepting new patients
Cardiology Associates, PA CurrentSince Jan 1, 2019 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

1118 Ross Clark Cir
Ste 501
Dothan, AL 36301
Phone (334) 793-9564

4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564

Interoperability endpoints

  • Direct secure messaging: tcarter@direct.scf.cc

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1306247796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-8901",
            "fax_number": "907-729-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DNR RD",
            "city": "MC GRATH",
            "state": "AK",
            "postal_code": "996270159",
            "telephone_number": "907-524-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 W Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051313",
            "country_code": "US",
            "telephone_number": "334-446-0076",
            "fax_number": "334-446-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9399811",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-105493",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "154364",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-105493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McGrath, AK

Sources for this page

Verify at the official NPI Registry.