TRACY EDWARDS (NP) – Nurse Practitioner, NPI 1700865912

TRACY EDWARDS (NP) is a healthcare provider. based in Portland, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP081420 (ME). The NPI Number for TRACY EDWARDS (NP) is 1700865912

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
TRACY EDWARDS (NP)
NPI
1700865912
Phone
(207) 706-3280
Address
22 BRAMHALL ST
Enumeration Date
16 January 2006
Last Update Date
29 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
1995 (31 years ago)
PAC ID
6406874890
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20051103001002
Address ID
ME041023134PO22XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for TRACY EDWARDS (NP)

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 706-3280

    Type: Location

  • 12, High Street, Lewiston, Androscoggin County, Maine, 04240, United States

    STE 302

    LEWISTON, ME 042407634

    Phone: (207) 795-5750

    Fax: (207) 795-5649

    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: 2005-11-03

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
I20051103001002INurse PractitionerMETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3629$0
99214Established patient office or other outpatient visit, 30-39 minutes3428$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3030$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

What is the registry number for TRACY EDWARDS (NP)?
The registry entry for TRACY EDWARDS (NP) shows NPI 1700865912.
Does the public listing show TRACY EDWARDS (NP) as active?
TRACY EDWARDS (NP)'s NPI record reflects an active status in NPPES.
How should patients interpret TRACY EDWARDS (NP)'s specialty?
The extract shows Nurse Practitioner for TRACY EDWARDS (NP). Clinical services aligned with this taxonomy classification.
Can patients visit TRACY EDWARDS (NP) in Portland, Maine?
For routing, start with Portland, Maine for TRACY EDWARDS (NP), then verify phone and hours locally.
Who maintains TRACY EDWARDS (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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