MEDICARE: DR. TRACEY ANGEL NAGLE DNP, APN, FNP, PMHNP

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	363LF0000X	Family Nurse Practitioner	26NJ01205600	NJ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ01205600	NJ
3	163WM0102X	Maternal Newborn Registered Nurse	26NO11390000	NJ
4	163WS0200X	School Registered Nurse	26NO11390000	NJ

General Provider Information

NPI Number	:	1780136127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACEY ANGEL NAGLE DNP, APN, FNP, PMHNP

Provider Business Mailing Address
First Line	:	301 STONE HARBOR BLVD
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2125
Country	:	US
Telephone Number	:	609-677-7211
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 COURT HOUSE SOUTH DENNIS RD
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2126
Country	:	US
Telephone Number	:	609-677-7211
Fax Number	:	609-677-7210

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

Provider Enumeration Date	:	11/02/2016
Last Update Date	:	05/26/2026

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