MS. TRACIE KATHERINE MUDGE (APRN, BC) – Nurse Practitioner, NPI 1598740805
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MS. TRACIE KATHERINE MUDGE (APRN, BC)
409, Bayshore Boulevard, Harbour Island, Tampa, Hillsborough County, Florida, 33606, United States
TAMPA, FL 336062707
Phone: (813) 844-9302
Fax: (813) 844-1655
Type: Mailing
2 Tampa General Cir
Tampa, FL 336063571
Phone: (813) 821-8038
Type: Location
PO BOX 917770
ORLANDO, FL 328910001
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $529.
Total Amount is formed as General ($529) + Research ($0) + Ownership ($0) = $529.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Medtronic, Inc. ($197).
Total Amount
$529
General + Research + Ownership
Payments
6
Total payment records
General Amount
$529
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $197 |
| Boston Scientific Corporation | $165 |
| CVRx, Inc. | $142 |
| LANTHEUS MEDICAL IMAGING, INC. | $25 |
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: 2012-05-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120529000200 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 18 | 18 | $0 |
Insurance plans in this area (ZIP 33606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
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