Individual provider Active NPI

Tracy Patterson Delk, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Brunswick, OH
National Provider Identifier
1639917487
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0036455 Issued in OH
Practice address
857 Eliza CT
Brunswick, OH 44212-4386
Phone
(330) 242-4954
NPI assigned
Jul 16, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0036455 OH Primary

Addresses

Primary practice location

857 Eliza CT
Brunswick, OH 44212-4386

Mailing address

857 Eliza CT
Brunswick, OH 44212-4386
Phone (330) 242-4954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241203001591 OH Practitioner - Nurse Practitioner 6002341856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Consultants LLCGroup PAC ID 2567646359, 29 clinicians

Practice addresses (Care Compare)

6789 Ridge Rd
Suite 305
Parma, OH 44129-5635
Phone (440) 491-8334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036455OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wissam Khoury DPM LLC CurrentSince Dec 15, 2025 Accepting new patients
Wound Care Consultants LLC Nurse Practitioner CurrentSince Oct 28, 2024 Accepting new patients
Promed Preferred Oh LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

9 Meron Dr
Unit 14
Monroe, NY 10950

23250 Chagrin Blvd
Ste 150
Beachwood, OH 44122
Phone (216) 402-0027

23250 Chagrin Blvd
Ste 450
Beachwood, OH 44122
Phone (216) 402-0027

15728 Lorain Ave
Cleveland, OH 44111
Phone (216) 252-6224

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1639917487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 ELIZA CT",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442124386",
            "telephone_number": "330-242-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 ELIZA CT",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442124386",
            "telephone_number": "330-242-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELK",
        "first_name": "TRACY",
        "middle_name": "PATTERSON",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.