Nielly Tracy Edwards, ARNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9344860 Issued in FL

Practice address

2114 NW 49TH Ave
Coconut Creek, FL 33063-7718

Phone

(954) 988-0979

NPI assigned

Sep 24, 2018

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Workit Health Mi PLLCGroup PAC ID 6406101625, shared by 26 NPIs, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nielly.edwards@597174495543300.direct.elationemr.com

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.

• Express Docs, LLC

  • Urgent Care Clinic/Center
  • Delray Beach, FL
  • NPI 1518309434
  Medicare reassignment NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Jupiter, FL
  • NPI 1689261638
  Medicare reassignment NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Charlotte, NC
  • NPI 1336890482
  Medicare reassignment NPD
• Express Docs, LLC

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1104388396
  NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1689403958
  NPD
• Expressdocs2Llc

  • Urgent Care Clinic/Center
  • Delray Beach, FL
  • NPI 1285497743
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1821572058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 NW 49TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330637718",
            "telephone_number": "954-988-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 NW 49TH AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330637718",
            "telephone_number": "954-988-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NIELLY",
        "middle_name": "TRACY",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9344860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie-Claude Dubuc, PA-C
• Jane Dupra Duran, APRN
• Dusan Dragovic, MD, Fasn, LLC
• Dynamic Mobile Ultrasound, LLC
• Edward J Kaplan, MD, PA
• Elevance Health
• Diamela Elias Batchelor
• Kirk J Ellington
• Sarah Elliot
• Humberto Encalada

• Family Nurse Practitioner in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.

Verify at the official NPI Registry.