Individual provider Active NPI

Tracy-Ann Damiela Hutchinson

  • Psychiatric/Mental Health Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1548972730
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11023573 Issued in FL
Practice address
4901 N Travelers Palm LN
Tamarac, FL 33319-3160
Phone
(954) 901-5440
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406010 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11023573 FL Primary

Addresses

Primary practice location

4901 N Travelers Palm LN
Tamarac, FL 33319-3160

Mailing address

4901 N Travelers Palm LN
Tamarac, FL 33319-3160
Phone (954) 901-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230320000001 FL Practitioner - Nurse Practitioner 4981078714 Reassigns benefits to 6 organizations
I20250221000884 NY Practitioner - Nurse Practitioner 4981078714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Nurse Practitioner PCGroup PAC ID 6901221795, 45 clinicians

Practice addresses (Care Compare)

191 Orchard St
Apt 4D
New York, NY 10002-1424
Phone (718) 534-0689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023573FLMDPsychiatric/Mental Health Nurse Practitioner
406010NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace Healing and Wellness LLC Psychiatric/Mental Health CurrentSince Jun 11, 2025 Accepting new patients
Access Telecare, PLLC CurrentSince Sep 11, 2024 Accepting new patients
Psychiatric Nurse Practitioner P.C Psychiatric/Mental Health CurrentSince Dec 9, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Mar 1, 2026 Accepting new patients
Transformative Healthcare Solutions Inc CurrentSince Mar 22, 2023 Accepting new patients
Forefront Telecare Inc CurrentSince Apr 19, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Mar 1, 2026 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients

Locations

1650 S Dixie Hwy
Ste 203
Boca Raton, FL 33432
Phone (561) 576-3074

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

Organizations & group practices 10

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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1548972730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 N TRAVELERS PALM LN",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193160",
            "telephone_number": "954-901-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 N TRAVELERS PALM LN",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193160",
            "telephone_number": "954-901-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "TRACY-ANN",
        "middle_name": "DAMIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406010",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11023573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.