Individual provider Active NPI

Tracy Cornelia Smith, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1346709011
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001778 Issued in FL
Practice address
12612 Challenger Pkwy
Orlando, FL 32826-2759
Phone
(407) 306-8441
NPI assigned
Mar 13, 2019
Last updated
Feb 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001778 FL Primary

Addresses

Primary practice location

12612 Challenger Pkwy
Orlando, FL 32826-2759

Mailing address

12612 Challenger Pkwy
Orlando, FL 32826-2759
Phone (407) 306-8441

Other practice location 1

6104 Raleigh St Apt 1606
Orlando, FL 32835-2230
Phone (407) 624-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, OR, WA, IL, WI, ID, UT, MI, OH10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20200211001451 FL Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 2 organizations
I20230802003322 CA Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 2 organizations
I20250710003061 OR Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 2 organizations
I20250715002993 WA Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 2 organizations
I20251224000242 IL Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 2 organizations
I20260105002376 WI Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 2 organizations
I20260129001331 ID Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 1 organization
I20260217002412 UT Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 2 organizations
I20260218004173 MI Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 3 organizations
I20260413002285 OH Practitioner - Nurse Practitioner 1355670753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 E Rivulon Blvd
Gilbert, AZ 85297-0096

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Michigan PLLC CurrentSince Jan 21, 2026 Accepting new patients
Altea Medical Florida PLLC CurrentSince Dec 6, 2025 Accepting new patients
Altea Medical California PC CurrentSince Oct 30, 2025 Accepting new patients
Altea Medical Oregon LLC CurrentSince Jun 23, 2025 Accepting new patients
Altea Medical Wisconsin S.C. CurrentSince Dec 15, 2025 Accepting new patients
Santibanez Pac Idaho CurrentSince Oct 25, 2025 Accepting new patients
Altea Medical Illinois PLLC CurrentSince Dec 1, 2025 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Jun 5, 2025 Accepting new patients
Altea Medical Maryland LLC CurrentSince Feb 1, 2026 Accepting new patients
Santibanez Pac Utah CurrentSince Oct 25, 2025 Accepting new patients

Locations (25 of 42)

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 473-3896

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

535 Auto Center Dr
Watsonville, CA 95076
Phone (831) 724-0671

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 892-1977

840 E Elva St
Idaho Falls, ID 83401
Phone (208) 523-4795

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1346709011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262759",
            "telephone_number": "407-306-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262759",
            "telephone_number": "407-306-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6104 Raleigh St Apt 1606",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328352230",
            "country_code": "US",
            "telephone_number": "407-624-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACY",
        "middle_name": "CORNELIA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.