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TRACY LYNN SIEBOLD APRN
NPI 1568946697
Nurse Practitioner - Pediatrics in Lakeland, FL

Active since September 25, 2018PECOS Enrolled
3030 HARDEN BLVD, LAKELAND, FL 33803(863) 284-5000(863) 284-6825 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 26, 2022, Sep 25, 2018 (2 updates tracked since 2018).

About Tracy Lynn Siebold Aprn NPPES

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

TRACY LYNN SIEBOLD APRN (NPI 1568946697) is an individual pediatrics provider in Lakeland, Florida, licensed in Florida (APRN9274656) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1568946697
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTRACY LYNN SIEBOLDCredential: APRN
Location Address3030 HARDEN BLVDLakeland, FL 33803-7952
Mailing Address1324 Lakeland Hills Blvd, Attn: Managed Care DepartmentLakeland, FL 33805-4543 · (863) 687-1100
Phone(863) 284-5000
Fax(863) 284-6825
Sole ProprietorNo
Enumeration DateSeptember 25, 2018
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1568946697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · APRN9274656
3030 HARDEN BLVD, Lakeland, FL 33803
Open in Google Maps ↗

Secondary Practice Location 1

Location 1430 E Central AveWinter Haven, FL 33880 · Phone (863) 284-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Lynn Siebold Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Siebold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeland Regional Health Systems, Inc.
3.7 mi
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
NPI 1497748743 (863) 687-7251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33803 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

DR. AARTI D PATEL M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 687-1222
DR. BETH P WILLIAMS MD
Obstetrics & Gynecology
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 284-6800
DR. COLTON AUSTIN FAZA M.D.
Internal Medicine (Sports Medicine)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 687-1250
DR. KATHRYN DIANA CONVERS M.D.
Allergy & Immunology
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 213-1010
HMA BARTOW-SOLANTIC JOINT VENTURE LLC
Clinic/Center (Urgent Care)
3030 HARDEN BLVD, SUITE 102
LAKELAND, FL 33803
Polk County (904) 223-2330
OMAR WAZZAN
Psychiatry & Neurology (Neurology)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 284-6809
LAURA MARIA RABASSA
Physician Assistant (Surgical)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 687-1100
AUNG NAING M.D.
Internal Medicine (Critical Care Medicine)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 284-5020

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 Siebold's NPI number?

The NPI number for Tracy Siebold is 1568946697. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Tracy Siebold located?

Tracy Siebold practices at 3030 Harden Blvd, Lakeland, FL 33803. The listed phone number is (863) 284-5000.

What is Tracy Siebold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tracy Siebold enrolled in Medicare?

Yes. Tracy Siebold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Siebold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Siebold reassigns Medicare benefits to Lakeland Regional Health Systems, Inc. (Lakeland, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Siebold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Siebold was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.