Individual provider Active NPI

Tracie Lynn Roberts, FNP-BC

  • Family Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1871637694
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000596 Issued in DE
Practice address
20251 John J Williams Hwy
Lewes, DE 19958-4314
Phone
(302) 644-6860
Fax
(302) 644-6872
NPI assigned
Feb 16, 2007
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000596 DE Primary
School Registered Nurse 163WS0200X L10027141 DE

Addresses

Primary practice location

20251 John J Williams Hwy
Lewes, DE 19958-4314

Mailing address

23557 Willow Dr
Millsboro, DE 19966-2891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20120521000033 DE Practitioner - Nurse Practitioner 5698938165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

18941 John J Williams Hwy
Rehoboth Beach, DE 19971-4404
Phone (302) 703-3595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L10027141DEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. Family CurrentSince Apr 3, 2017 Accepting new patients
State of Delaware-Stockley CurrentSince Apr 3, 2017 Accepting new patients
Sussex Emergency Associates LLC Past Accepting new patients

Locations

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

18941 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 644-6992

Interoperability endpoints

  • Direct secure messaging: troberts22406@beebehealth.direct-ci.com

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.

Hospital & facility affiliations 2

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1871637694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23557 WILLOW DR",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199662891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584314",
            "telephone_number": "302-644-6860",
            "fax_number": "302-644-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000596",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L10027141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.