Active NPI
Tracy Elberts, PNP
- Pediatric Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 244212
- Practice address
- 635 E Baseline Rd
Phoenix, AZ 85042-6583 - Phone
- (602) 243-7277
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 244212 | AZ | Primary |
Addresses
Primary practice location
635 E Baseline Rd
Phoenix, AZ 85042-6583
Mailing address
26134 N Desert Mesa Dr
Surprise, AZ 85387-6821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3003 N Central Ave
Suite 1600
Phoenix, AZ 85012-2908
PO Box
Dallas, TX 75265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244212 | AZ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Park Health Center | Current | Accepting new patients | |
| Mountain Park Health Center | Current | Accepting new patients | |
| Mountain Park Health Center | Single Specialty | Current | Accepting new patients |
| Mountain Park Health Center - Dental | Past | Accepting new patients |
Locations
140 N Litchfield Rd
#200106
Goodyear, AZ 85338
140 N Litchfield Rd
Ste 106
Goodyear, AZ 85338
Phone (480) 861-6426
140 N Litchfield Rd
Ste 200106
Goodyear, AZ 85338
Phone (623) 936-6795
4315 N Maryvale Pkwy
Phoenix, AZ 85031
Phone (623) 691-1700
3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492
5517 N 17th Ave
Phoenix, AZ 85015
Phone (602) 242-7717
6601 W Thomas Rd
Phoenix, AZ 85033
303 E Baseline Rd
Phoenix, AZ 85042
Phone (602) 277-6181
3830 E Van Buren St
Phoenix, AZ 85008
Phone (602) 806-6655
1300 N 48th St
Phoenix, AZ 85008
Phone (480) 882-5917
635 E Baseline Rd
Phoenix, AZ 85042
1840 E Broadway Rd
Tempe, AZ 85282
Phone (602) 323-3444
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1558308825
Single Specialty
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1386452415
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1669878567
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1710146188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1891463238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26134 N DESERT MESA DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853876821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 E BASELINE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426583",
"telephone_number": "602-243-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBERTS",
"first_name": "TRACY",
"credential": "PNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "244212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.