MS. TRACY ANN ANDERSEN PNP
NPI 1295826717
Nurse Practitioner - Pediatrics in Springfield, IL
About Ms. Tracy Ann Andersen Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TRACY ANN ANDERSEN PNP (NPI 1295826717) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (209002042) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Tracy Ann Andersen Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62711
SPRINGFIELD, IL 62711
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tracy Andersen's NPI number?
The NPI number for Tracy Andersen is 1295826717. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Tracy Andersen located?
Tracy Andersen practices at 3501 Old Jacksonville Rd, Springfield, IL 62711. The listed phone number is (217) 528-7541.
What is Tracy Andersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Tracy Andersen enrolled in Medicare?
Yes. Tracy Andersen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tracy Andersen was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Tracy Ann Andersen, PNP · NPI 1295826717
Pediatrics physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1295826717 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 209002042 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 OLD JACKSONVILLE RD, Springfield, IL 62711-8358
- **Phone:** (217) 528-7541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295826717) · Data from the CMS NPPES public registry.