Active NPI
Tracy Cornelia Smith, APRN
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11001778
- Practice address
- 12612 Challenger Pkwy
Orlando, FL 32826-2759 - Phone
- (407) 306-8441
- NPI assigned
- Mar 13, 2019
- Last updated
- Feb 8, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Michigan PLLC | Current | Accepting new patients | |
| Altea Medical Florida PLLC | Current | Accepting new patients | |
| Altea Medical California PC | Current | Accepting new patients | |
| Altea Medical Oregon LLC | Current | Accepting new patients | |
| Altea Medical Wisconsin S.C. | Current | Accepting new patients | |
| Santibanez Pac Idaho | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Current | Accepting new patients | |
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Altea Medical Maryland LLC | Current | Accepting new patients | |
| Santibanez Pac Utah | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Cloud, FL
- NPI 1083493860
-
- Geriatric Medicine (Internal Medicine) Physician
- Eureka, CA
- NPI 1174302954
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Geriatric Medicine (Internal Medicine) Physician
- Westminster, MD
- NPI 1770301277
MI
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth, MI
- NPI 1053142000
-
- Geriatric Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1184451254
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Geriatric Medicine (Internal Medicine) Physician
- Green Bay, WI
- NPI 1265320949
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
FL, IL, MI, OR, UT, WA, WI
-
- Geriatric Medicine (Internal Medicine) Physician
- Idaho Falls, ID
- NPI 1346015948
-
- Geriatric Medicine (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1881469484
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.