TRACEY GILLISPIE NNP
NPI 1063438828
Nurse Practitioner - Neonatal in Phoenix, AZ

Q: What is Tracey Gillispie's NPI number?

The NPI number for Tracey Gillispie is 1063438828. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Tracey Gillispie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Gillispie was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2006PECOS Enrolled

300 W CLARENDON AVE, 375, PHOENIX, AZ 85013(602) 277-4161(602) 274-3394 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tracey Gillispie Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY GILLISPIE NNP (NPI 1063438828) is an individual neonatal provider in Phoenix, Arizona, licensed in Arizona (95649) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063438828

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameTRACEY GILLISPIECredential: NNP

Location Address300 W CLARENDON AVE, 375Phoenix, AZ 85013-3420

Mailing Address300 W Clarendon Ave, 375Phoenix, AZ 85013-3420 · (602) 277-4161 · Fax (602) 274-3394

Phone(602) 277-4161

Fax(602) 274-3394

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063438828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in AZ · 95649

300 W CLARENDON AVE, Phoenix, AZ 85013

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Other Identifiers 1

Medicaid703406AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Gillispie Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANN W OSTROM PT

Physical Therapist (Hand)

300 W CLARENDON AVE, SUITE 285
PHOENIX, AZ 85013

Maricopa County (602) 277-3686

EVA J CONDON MD

Pediatrics (Neonatal-Perinatal Medicine)