Individual provider Active NPI

Tracey Taylor

  • Acute Care Nurse Practitioner
  • Milton, FL
National Provider Identifier
1437519618
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN3069022 Issued in FL
Practice address
5992 Berryhill Rd Ste 202
Milton, FL 32570-1014
Phone
(850) 626-5375
Fax
(850) 626-5376
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN3069022 FL Primary

Addresses

Primary practice location

5992 Berryhill Rd Ste 202
Milton, FL 32570-1014

Mailing address

5992 Berryhill Rd Ste 202
Milton, FL 32570-1014
Phone (850) 626-5375

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TRACEY.TAYLOR@SRMCFL.COM

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
I20181129003114 FL Practitioner - Nurse Practitioner 8224317300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

4225 Woodbine Rd
Pace, FL 32571-8791
Phone (850) 994-6575

5992 Berryhill Rd
Milton, FL 32570-1014

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Hospital & facility affiliations

  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3069022FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management, LLC CurrentSince Sep 24, 2018 Accepting new patients
Santa Rosa Hma Physician Management LLC Acute Care PastSince Jul 4, 2021 Accepting new patients

Locations

5992 Berryhill Rd
Ste 201
Milton, FL 32570
Phone (850) 626-9626

5992 Berryhill Rd
Ste 202
Milton, FL 32570
Phone (850) 626-5375

7456 Navarre Pkwy
Navarre, FL 32566
Phone (850) 626-5070

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

5595 Woodbine Rd
Pace, FL 32571
Phone (850) 981-7746

Interoperability endpoints

  • Direct secure messaging: tracey.taylor.1@4692.direct.athenahealth.com
  • Direct secure messaging: tracey.taylor@srmcfl.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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1437519618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD STE 202",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701014",
            "telephone_number": "850-626-5375",
            "fax_number": "850-626-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 BERRYHILL RD STE 202",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325701014",
            "telephone_number": "850-626-5375",
            "fax_number": "850-626-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TRACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN3069022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRACEY.TAYLOR@SRMCFL.COM",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "5992 Berryhill Rd Ste 202",
            "city": "Milton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325701014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.