Individual provider Active NPI

Tracey Stone, FNP-BC

  • Family Nurse Practitioner
  • Elkton, MD
National Provider Identifier
1336579697
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC001289 Issued in MD
Practice address
330 E Pulaski Hwy
Elkton, MD 21921-6435
Phone
(410) 398-3445
Fax
(410) 620-1538
NPI assigned
Nov 22, 2013
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000720 DE
Family Nurse Practitioner 363LF0000X AC001289 MD Primary
Registered Nurse 163W00000X L1-0036705 DE

Addresses

Primary practice location

330 E Pulaski Hwy
Elkton, MD 21921-6435

Mailing address

PO Box 8571
Lancaster, PA 17604-8571
Phone (855) 834-1466

Other names 1

  • Mrs. Tracey Stone Professional name

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
I20190909002357 FL Practitioner - Nurse Practitioner 8921239450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

12748 S Cleveland Ave
Fort Myers, FL 33907-3823
Phone (239) 945-9599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0036705DEMDRegistered Nurse
LG-0000720DEMDFamily Nurse Practitioner
AC001289MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Jul 1, 2019 Accepting new patients
MD Now Medical Centers Inc Current Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 1, 2019 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 15, 2024 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Jul 1, 2019 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 1, 2019 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Medexpress, Inc - Delaware Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
New Health of North East, LLC PastSince Feb 13, 2019 Accepting new patients
Chesapeake ENT/Plastic Facial Surgery Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

Fort Myers, FL 33907
Phone (239) 245-9599

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1336579697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8571",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176048571",
            "telephone_number": "855-834-1466",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216435",
            "telephone_number": "410-398-3445",
            "fax_number": "410-620-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "TRACEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000720",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001289",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0036705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "STONE",
            "prefix": "MRS.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.