DR. TRACY GOLDBERG (DNP) – Family Nurse Practitioner, NPI 1962058891

DR. TRACY GOLDBERG (DNP) is a healthcare provider. based in Lutz, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. RN9386159 (FL). The NPI Number for DR. TRACY GOLDBERG (DNP) is 1962058891

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRACY GOLDBERG (DNP)
NPI
1962058891
Phone
(813) 454-4044
Address
217 CRYSTAL GROVE BLVD
Enumeration Date
15 August 2019
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7272018585
Graduation Year
2020 (6 years ago)
PAC ID
0840664272
Group Practice PAC ID
5496058422
Professional Enrollment ID
I20230324002317
Address ID
FL337814607PI7101XNXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for DR. TRACY GOLDBERG (DNP)

  • 217 CRYSTAL GROVE BLVD

    LUTZ, FL 335486465

    Phone: (813) 454-4044

    Type: Location

  • 12144 US HIGHWAY 301 N UNIT 101

    PARRISH, FL 342198463

    Phone: (941) 350-7855

    Type: Mailing

  • Blake Medical Center, 2020, 59th Street West, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342094604

    Phone: (941) 792-6611

    Type: Location

  • 5925 Lakewood Ranch Blvd

    Bradenton, FL 342112464

    Phone: (941) 348-1201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $640.

Total Amount is formed as General ($640) + Research ($0) + Ownership ($0) = $640.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($158).

Total Amount

$640

General + Research + Ownership

Payments

31

Total payment records

General Amount

$640

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-24

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
I20230324002317INurse 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
99203New patient office or other outpatient visit, 30-44 minutes214214$0
99213Established patient office or other outpatient visit, 20-29 minutes145120$0
J1100Injection, dexamethasone sodium phosphate, 1 mg11414$0
81003Automated urinalysis test4137$0
96372Injection of drug or substance under skin or into muscle3228$0
View full utilization report →

Insurance plans in this area (ZIP 33548)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496058422View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for DR. TRACY GOLDBERG (DNP) in U.S. healthcare records?
The official identifier for DR. TRACY GOLDBERG (DNP) is NPI 1962058891.
Is DR. TRACY GOLDBERG (DNP) shown as active in public data?
Registry records indicate DR. TRACY GOLDBERG (DNP) maintains an active NPI.
How would a patient describe DR. TRACY GOLDBERG (DNP)'s focus?
For DR. TRACY GOLDBERG (DNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TRACY GOLDBERG (DNP)?
Travel planning: use Lutz, Florida as the reference point for DR. TRACY GOLDBERG (DNP), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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