MEDICARE: TRACIE SIMPSON ACNPC, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LC0200X	Critical Care Medicine Nurse Practitioner	1170201	TX
2	363L00000X	Nurse Practitioner	1170201	TX
3	363LF0000X	Family Nurse Practitioner	1170201	TX
4	363LA2100X	Acute Care Nurse Practitioner	1170201	TX

General Provider Information

NPI Number	:	1255160610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACIE SIMPSON ACNPC, FNP-BC

Provider Business Mailing Address
First Line	:	4005 RUFE SNOW DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8845
Country	:	US
Telephone Number	:	682-238-1797
Fax Number	:

Provider Business Practice Location Address
First Line	:	4005 RUFE SNOW DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8845
Country	:	US
Telephone Number	:	682-238-1797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	12/27/2025

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