Individual provider Active NPI

Tracey Rzepka, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1588086920
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP1592722 Issued in FL
Practice address
2650 Bahia Vista St Ste 209
Sarasota, FL 34239-2625
Phone
(941) 870-7060
Fax
(844) 876-2658
NPI assigned
Jan 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP1592722 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP1592722 FL Primary

Addresses

Primary practice location

2650 Bahia Vista St Ste 209
Sarasota, FL 34239-2625

Mailing address

2650 Bahia Vista St Ste 209
Sarasota, FL 34239-2625
Phone (941) 870-7060

Other practice location 1

2750 Bahia Vista St Ste 108
Sarasota, FL 34239-2636
Phone (941) 870-7060

Other identifiers 2

IdentifierTypeStateIssuer
033906700MedicaidFL
Y3404OtherFLBC/BS

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
I20140326001369 FL Practitioner - Nurse Practitioner 3476784968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2650 Bahia Vista St
Suite 209
Sarasota, FL 34239-2625
Phone (941) 870-7060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Something Beautiful Wellness Care Psychiatric/Mental Health CurrentSince Aug 10, 2015 Accepting new patients
GPS II Past Accepting new patients

Locations

2750 Bahia Vista St
Ste 108
Sarasota, FL 34239
Phone (941) 374-2273

2650 Bahia Vista St
Ste 209
Sarasota, FL 34239
Phone (941) 870-3600

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.

NPI Registry JSON

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1588086920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 209",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-870-7060",
            "fax_number": "844-876-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 209",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-870-7060",
            "fax_number": "844-876-2658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Bahia Vista St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392636",
            "country_code": "US",
            "telephone_number": "941-870-7060",
            "fax_number": "844-876-2658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RZEPKA",
        "first_name": "TRACEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-18",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1592722",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1592722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033906700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y3404",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.