Individual provider Active NPI

Tracy Oler, PA-C

  • Physician Assistant
  • Port Orange, FL
National Provider Identifier
1396160495
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107752 Issued in FL
Practice address
5600 Victoria Gardens Blvd
Port Orange, FL 32127-7914
Phone
(386) 760-7773
NPI assigned
Feb 26, 2014
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107752 FL Primary
Surgical Physician Assistant 363AS0400X PA9107752 FL

Addresses

Primary practice location

5600 Victoria Gardens Blvd
Port Orange, FL 32127-7914

Mailing address

2094 Hazen Rd
Deland, FL 32720-2101

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
I20140311001356 FL Practitioner - Physician Assistant 7214167378 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4796 Hodges Blvd
Suite 101
Jacksonville, FL 32224-2209
Phone (904) 449-7246

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
77.92
Promoting interoperability
99
Improvement activities
40
Cost
79.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9107752FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Institute of Pain Medicine LLC CurrentSince Oct 8, 2025 Accepting new patients
Florida Institute of Pain Medicine LLC CurrentSince Oct 8, 2025 Accepting new patients
PRC Associates LLC CurrentSince May 1, 2021 Accepting new patients
PRC Associates LLC CurrentSince May 1, 2021 Accepting new patients
Rothman Orthopaedics of Florida,PLLC CurrentSince Feb 26, 2024 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-2977

750 W Plymouth Ave
#B
Deland, FL 32720
Phone (386) 740-1123

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

761 Stirling Center Pl
Lake Mary, FL 32746
Phone (386) 274-2977

501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 265-1913

2720 Rebecca Ln
Ste 104
Orange City, FL 32763
Phone (386) 456-1160

7975 Lake Underhill Rd
Ste 330
Orlando, FL 32822
Phone (407) 303-6566

21 Hospital Dr
Ste 120
Palm Coast, FL 32164
Phone (386) 586-2280

1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815

105 Whitehall Dr
Ste 115
St Augustine, FL 32086
Phone (904) 800-7246

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Organizations & group practices 8

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": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1396160495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 HAZEN RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 VICTORIA GARDENS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321277914",
            "telephone_number": "386-760-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLER",
        "first_name": "TRACY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107752",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9107752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.