Individual provider Active NPI

Tracy Osborne, PA-C

  • Medical Physician Assistant
  • Lakewood Ranch, FL
National Provider Identifier
1902268998
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109407 Issued in FL
Practice address
6600 University Pkwy Ste 301
Lakewood Ranch, FL 34240-9048
Phone
(941) 361-1100
Fax
(941) 361-1103
NPI assigned
Mar 28, 2016
Last updated
May 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109407 FL Primary

Addresses

Primary practice location

6600 University Pkwy Ste 301
Lakewood Ranch, FL 34240-9048

Mailing address

10920 Technology Ter
Lakewood Ranch, FL 34211-4930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170427002217 FL Practitioner - Physician Assistant 5395022446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Gi PLLCGroup PAC ID 4284098906, 3 clinicians
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

11505 Palmbrush TRL
Suite 200
Lakewood Ranch, FL 34202-2904
Phone (941) 334-9040

1886 59TH St W
Bradenton, FL 34209-4630
Phone (941) 794-1980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109407FLMDMedical Physician Assistant

Organizations & group practices 2

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 1

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1902268998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 TECHNOLOGY TER",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 UNIVERSITY PKWY STE 301",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342409048",
            "telephone_number": "941-361-1100",
            "fax_number": "941-361-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "TRACY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.