Individual provider Active NPI

Tracy Elberts, PNP

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1891463238
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
244212 Issued in AZ
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

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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, TX2 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
I20251121001833 AZ Practitioner - Nurse Practitioner 7618469248 Reassigns benefits to 1 organization
I20260422002045 TX Practitioner - Nurse Practitioner 7618469248 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
244212AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Oct 20, 2025 Accepting new patients
Mountain Park Health Center CurrentSince Oct 20, 2025 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.

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

Verify at the official NPI Registry.