Individual provider Active NPI

Kadia Tracey, APRN

  • Gerontology Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1326847971
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11036403 Issued in FL
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

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312003313 FL Practitioner - Nurse Practitioner 9931620473 Reassigns benefits to 1 organization

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
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

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

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 10, 2025 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.

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

Verify at the official NPI Registry.