Individual provider Active NPI

Lauren Marie Tracy, AGPCNP-BC

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1790436749
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5015605 Issued in NC
Practice address
1021 Morehead Medical Dr
Charlotte, NC 28204-2990
Phone
(980) 442-2000
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 5015605 NC Primary

Addresses

Primary practice location

1021 Morehead Medical Dr
Charlotte, NC 28204-2990

Mailing address

301 29TH Ave N Apt 111
Nashville, TN 37203-2273
Phone (615) 480-6913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230519000425 DC Practitioner - Nurse Practitioner 2668867599 Reassigns benefits to 7 organizations
I20250404001172 VA Practitioner - Nurse Practitioner 2668867599 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

Practice addresses (Care Compare)

Washington, DC 20002
Phone (862) 812-9010

20130 Lakeview Ctr PLZ
Suite 400
Ashburn, VA 20147-5905
Phone (862) 812-9010

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Hospital & facility affiliations

  • Carevana Home Health Inc Home health agency, Maclean, VA, CCN 497778
  • Enhabit Home Health Home health agency, Springfield, VA, CCN 497570
  • Bayada Home Health Care Inc Home health agency, Falls Church, VA, CCN 497730
  • Caregivers Home Health Services, Inc Home health agency, Tysons, VA, CCN 497559
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5015605NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2023 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jan 13, 2025 Accepting new patients
Ennoble HC DMV III LLC Single Specialty CurrentSince Feb 9, 2026 Accepting new patients
Washington Hospital Center Corp Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jan 13, 2025 Accepting new patients
Medstar Medical Group II LLC Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Ennoble HC DMV II LLC Single Specialty CurrentSince Feb 9, 2026 Accepting new patients
Washington Hospital Center Corp Single Specialty Current Accepting new patients
Ennoble HC DMV LLC Single Specialty CurrentSince Feb 9, 2026 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jan 13, 2025 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1500 K St NW
Ofc 226A
Washington, DC 20005
Phone (862) 812-9010

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

8081 Innovation Park Dr
Ste 301
Fairfax, VA 22031
Phone (571) 472-6431

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: ltracy1445624@soc.inova.org

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1790436749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 29TH AVE N APT 111",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032273",
            "telephone_number": "615-480-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOREHEAD MEDICAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042990",
            "telephone_number": "980-442-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.