Individual provider Active NPI

Ife Jaha Tracy, NP

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1497373799
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2299747 Issued in MA
Practice address
960 Massachusetts Ave # 3448-a
Boston University Family Medicine;Value Based Program
Boston, MA 02118-2620
Phone
(617) 414-2080
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2299747 MA
Family Nurse Practitioner 363LF0000X RN2299747 MA Primary

Addresses

Primary practice location

960 Massachusetts Ave # 3448-a
Boston University Family Medicine;Value Based Program
Boston, MA 02118-2620

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice location 1

960 Massachusetts Ave
3448-A Value Based Care - Evans
Boston, MA 02118
Phone (617) 414-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240828000605 MA Practitioner - Nurse Practitioner 0840739488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston University Family Medicine IncGroup PAC ID 0446154074, 67 clinicians
Evans Medical Foundation IncGroup PAC ID 7416946546, 525 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 414-4465

72 E Newton St
CR Evans 124
Boston, MA 02118-2308
Phone (617) 638-7253

88 E Newton St
Boston, MA 02118-2308
Phone (617) 414-5405

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2299747MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Family Medicine, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Child Health Foundation of Boston, Inc. CurrentSince May 1, 2025 Accepting new patients
Evans Medical Foundation, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Community Physicians Associates, Inc. PastSince Dec 1, 2020 Accepting new patients
Randolph Medical Associates, PC PastSince Dec 1, 2020 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

850 Harrison Ave
#4
Boston, MA 02118
Phone (617) 414-2000

960 Massachusetts Ave
#3448A
Boston, MA 02118

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

Interoperability endpoints

  • Direct secure messaging: itracy246245@direct.bmc.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1497373799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE # 3448-A",
            "address_2": "BOSTON UNIVERSITY FAMILY MEDICINE;VALUE BASED PROGRAM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182620",
            "telephone_number": "617-414-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Massachusetts Ave",
            "address_2": "3448-A Value Based Care - Evans",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-414-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACY",
        "first_name": "IFE",
        "middle_name": "JAHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2299747",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2299747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.