Active NPI
Jill Ann Tracy, NP-C
- Family Nurse Practitioner
- Paso Robles, CA
National Provider Identifier
1669466132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18510
- Practice address
- 2120 Golden Hill Rd Ste 102
Paso Robles, CA 93446-7048 - Phone
- (805) 434-2900
- Fax
- (805) 434-2928
- NPI assigned
- Sep 9, 2005
- Last updated
- Mar 4, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18510 | CA | Primary |
Addresses
Primary practice location
2120 Golden Hill Rd Ste 102
Paso Robles, CA 93446-7048
Mailing address
2120 Golden Hill Rd Ste 102
Paso Robles, CA 93446-7048
Phone (805) 434-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB220941 | Other | CA | MEDICARE ID |
Other names 1
- Jill Ann Tracy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 Golden Hill Rd
Suite 102
Paso Robles, CA 93446-7048
Phone (805) 434-2900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.44 of 100
- Quality
- 76.51
- Improvement activities
- 40
- Cost
- 72.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18510 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mareeni T Stanislaus MD a Medical Corporation | Current | Accepting new patients | |
| Las Tablas Medical Group,Inc | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Locations
2120 Golden Hill Rd
Ste 202
Paso Robles, CA 93446
Phone (805) 434-2240
350 Posada Ln
Ste 201
Templeton, CA 93465
Phone (805) 434-0876
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
dba Las Tablas Medical Group
- Family Medicine Physician
- Paso Robles, CA
- NPI 1205994977
-
- Obstetrics & Gynecology Physician
- Templeton, CA
- NPI 1922523943
-
dba Dignity Health Women's Center - Southwest
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba French Hospital Medical Center
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
dba Twin Cities Community Hospital
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1669466132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 GOLDEN HILL RD STE 102",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934467048",
"telephone_number": "805-434-2900",
"fax_number": "805-434-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 GOLDEN HILL RD STE 102",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934467048",
"telephone_number": "805-434-2900",
"fax_number": "805-434-2928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "JILL",
"middle_name": "ANN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-09",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "18510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "CB220941",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "TRACY",
"middle_name": "ANN",
"credential": "NP-C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.