Active NPI
Tracy Lee Eilers, APRN-C
- Adult Health Nurse Practitioner
- Winter Haven, FL
National Provider Identifier
1639624778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9234028
- Practice address
- 200 Avenue F NE Ste 9118
Winter Haven, FL 33881-4131 - Phone
- (863) 297-1777
- Fax
- (863) 297-1756
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9234028 | FL | Primary |
Addresses
Primary practice location
200 Avenue F NE Ste 9118
Winter Haven, FL 33881-4131
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-1355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019014600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tracy.eilersarnp@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9234028 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1639624778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-532-1355",
"fax_number": "813-635-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVENUE F NE STE 9118",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814131",
"telephone_number": "863-297-1777",
"fax_number": "863-297-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EILERS",
"first_name": "TRACY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "APRN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9234028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019014600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tracy.eilersarnp@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew Street",
"address_2": "East Bldg 2nd Floor",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "33759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.