TRACEY SANDERBECK (A.R.N.P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104213719

TRACEY SANDERBECK (A.R.N.P.) is a healthcare provider. based in Seminole, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials A.R.N.P.. They hold a License No. ARNP9168905 (FL). The NPI Number for TRACEY SANDERBECK (A.R.N.P.) is 1104213719

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY SANDERBECK (A.R.N.P.)
NPI
1104213719
Phone
(813) 636-8811
Address
8253 113TH ST
Enumeration Date
21 April 2015
Last Update Date
4 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7272955050
Graduation Year
2014 (12 years ago)
PAC ID
1052614930
Professional Enrollment ID
I20160127001230
Address ID
FL337727328SE5666XBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TRACEY SANDERBECK (A.R.N.P.)

  • 8253 113TH ST

    STE 100

    SEMINOLE, FL 337724128

    Phone: (813) 636-8811

    Fax: (813) 636-8855

    Type: Mailing

  • 5666 SEMINOLE BLVD STE 109

    SEMINOLE, FL 337727328

    Phone: (727) 295-5050

    Fax: (727) 273-9668

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160127001230INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10926$0
90833Psychotherapy with evaluation and management visit, 30 minutes5216$0
View full utilization report →

Insurance plans in this area (ZIP 33772)

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Reviews

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Frequently asked questions

Does TRACEY SANDERBECK (A.R.N.P.) have a public NPI I can cite?
Public records show TRACEY SANDERBECK (A.R.N.P.) under NPI 1104213719.
Should I treat TRACEY SANDERBECK (A.R.N.P.) as an active provider?
Patients and plans typically see TRACEY SANDERBECK (A.R.N.P.) as active in the national extract.
How should patients interpret TRACEY SANDERBECK (A.R.N.P.)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for TRACEY SANDERBECK (A.R.N.P.). Clinical services aligned with this taxonomy classification.
Which community is linked to TRACEY SANDERBECK (A.R.N.P.)?
TRACEY SANDERBECK (A.R.N.P.) shows a connection to Seminole, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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