Active NPI
Kadia Tracey, APRN
- Gerontology Nurse Practitioner
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11036403
- Practice address
- 4801 S Congress Ave Ste 400
Palm Springs, FL 33461-4746 - Phone
- (561) 366-4100
- Fax
- (561) 439-2717
- NPI assigned
- Mar 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11036403 | FL | Primary |
Addresses
Primary practice location
4801 S Congress Ave Ste 400
Palm Springs, FL 33461-4746
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other practice location 1
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone (561) 366-4100
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
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4801 S Congress Ave
Suite 400
Lake Worth, FL 33461-4746
Phone (561) 366-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients |
Locations
21020 State Road 7
Ste 200C
Boca Raton, FL 33428
Phone (561) 409-1071
5130 Linton Blvd
Ste B4
Delray Beach, FL 33484
Phone (561) 808-0098
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
4801 S Congress Ave
Ste 400
Palm Springs, FL 33461
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
1309 N Flagler Dr
Fl Cancer
West Palm Beach, FL 33401
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1326847971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S CONGRESS AVE STE 400",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334614746",
"telephone_number": "561-366-4100",
"fax_number": "561-439-2717"
}
],
"practiceLocations": [
{
"address_1": "1309 N Flagler Dr",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334013406",
"country_code": "US",
"telephone_number": "561-366-4100",
"fax_number": "866-326-5063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRACEY",
"first_name": "KADIA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11036403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.