Individual provider Active NPI

Tracy M Bronson, RN MSN FNP-BC

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1972080455
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009571 Issued in CA
Practice address
23811 Washington Ave Ste C110 , #203
Murrieta, CA 92562
Phone
(858) 603-1602
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009571 CA Primary

Addresses

Primary practice location

23811 Washington Ave Ste C110 , #203
Murrieta, CA 92562

Mailing address

38975 Sky Canyon Dr Ste 208
Murrieta, CA 92563-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190515001633 CA Practitioner - Nurse Practitioner 8729321765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHC PCGroup PAC ID 8628450749, 3 clinicians

Practice addresses (Care Compare)

6926 Brockton Ave
Suite 8
Riverside, CA 92506-3804
Phone (877) 414-7739

Hospital & facility affiliations

  • Bridge Home Health Home health agency, Murrieta, CA, CCN 559145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95009571CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cync Health PLLC CurrentSince Nov 1, 2024 Accepting new patients
Home Physicians Medical Group, Inc. CurrentSince Apr 15, 2019 Accepting new patients
VHC, P.C. CurrentSince Sep 1, 2022 Accepting new patients

Locations

6926 Brockton Ave
Ste 8
Riverside, CA 92506
Phone (877) 414-7739

4849 Ronson Ct
Ste 217
San Diego, CA 92111
Phone (858) 279-1212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1972080455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38975 SKY CANYON DR STE 208",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 WASHINGTON AVE STE C110 , #203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "858-603-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "RN MSN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.