Tracey S Mixon, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137319 Issued in TX

Practice address

790 Generations Dr Ste 210
New Braunfels, TX 78130-0087

Phone

(512) 643-3631

Fax

(512) 265-9692

NPI assigned

Feb 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Desire to Live Now, LLC

  • Family Nurse Practitioner
  • New Braunfels, TX
  • NPI 1417570003
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1497210389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR STE 210",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300087",
            "telephone_number": "512-643-3631",
            "fax_number": "512-265-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR STE 210",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300087",
            "telephone_number": "512-643-3631",
            "fax_number": "512-265-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "TRACEY",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Hill Dental Management, L.L.C.
• Mission Rehabilitation and Sports Medicine Limited Partnership
• Jennifer Mitchell, PSYD
• Whitney H. Mitchell, MD
• Ashley Nicole Mitzel
• Esther Devy Moalim
• Callie Jane Moczygemba, DO
• Clayton Ross Moczygemba, DDS
• Cory John Moczygemba, DPM
• Kelly R Moeller, LMSW

• Family Nurse Practitioner in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.