Individual provider Active NPI

Tracie A Panter, ARNP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1619210267
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9264829 Issued in FL
Practice address
3455 Edgewater Dr
Orlando, FL 32804-3601
Phone
(407) 955-4278
Fax
(407) 987-3949
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9264829 FL Primary

Addresses

Primary practice location

3455 Edgewater Dr
Orlando, FL 32804-3601

Mailing address

3455 Edgewater Dr
Orlando, FL 32804-3601
Phone (407) 955-4278

Other practice location 1

156 N 4th St Ste 1480
Lake Mary, FL 32746-2964
Phone (407) 833-6300

Other practice location 2

807 W Morse Blvd Ste 200
Winter Park, FL 32789-3726
Phone (407) 644-2990

Other names 1

  • Tracie Arena Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1619210267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043601",
            "telephone_number": "407-955-4278",
            "fax_number": "407-987-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043601",
            "telephone_number": "407-955-4278",
            "fax_number": "407-987-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 N 4th St Ste 1480",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462964",
            "country_code": "US",
            "telephone_number": "407-833-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 W Morse Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327893726",
            "country_code": "US",
            "telephone_number": "407-644-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTER",
        "first_name": "TRACIE",
        "middle_name": "A",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9264829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "ARENA",
            "credential": "ARNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.