Individual provider Active NPI

Tracey S McKelton

  • Family Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1386184729
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2738522 Issued in FL
Practice address
302 Harbour Pointe Way
Greenacres, FL 33413-2007
Phone
(561) 632-0666
Fax
(239) 217-9846
NPI assigned
Mar 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 APRN2738522 FL Primary

Addresses

Primary practice location

302 Harbour Pointe Way
Greenacres, FL 33413-2007

Mailing address

302 Harbour Pointe Way
Greenacres, FL 33413-2007
Phone (561) 632-0666

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
I20190102002704 FL Practitioner - Nurse Practitioner 4789929373 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2738522FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sharpe Concierge Healthcare LLC Family Current Accepting new patients
Golden Years NP Care LLC CurrentSince Apr 11, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tmckelton20401@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: tracey.mckelton@1069591214882820.direct.elationemr.com

Organizations & group practices 2

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": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1386184729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HARBOUR POINTE WAY",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132007",
            "telephone_number": "561-632-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HARBOUR POINTE WAY",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132007",
            "telephone_number": "561-632-0666",
            "fax_number": "239-217-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELTON",
        "first_name": "TRACEY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2738522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.