DEIRDRE TARA TRACEY
NPI 1659918258
Nurse Practitioner - Family in Grosse Pointe, MI

Active since December 03, 2019PECOS EnrolledAccepts Medicare Assignment
17120 KERCHEVAL AVE, GROSSE POINTE, MI 48230(313) 886-3300 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Dec 3, 2019 (2 updates tracked since 2019).

About Deirdre Tara Tracey NPPES

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

DEIRDRE TARA TRACEY (NPI 1659918258) is an individual family provider in Grosse Pointe, Michigan, licensed in Michigan (4704303811) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659918258
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEIRDRE TARA TRACEY
Location Address17120 KERCHEVAL AVEGrosse Pointe, MI 48230-1661
Mailing Address17120 Kercheval AveGrosse Pointe, MI 48230-1661
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 3, 2019
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1659918258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704303811
17120 KERCHEVAL AVE, Grosse Pointe, MI 48230

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deirdre Tara Tracey is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133550353
PECOS Enrollment IDI20200504000170
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48230 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 12

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

Pharmacist
17120 KERCHEVAL AVE
GROSSE POINTE, MI 48230
Nurse Practitioner (Family)
17120 KERCHEVAL AVE
GROSSE POINTE, MI 48230
Nurse Practitioner (Family)
17120 KERCHEVAL AVE
GROSSE POINTE, MI 48230
Nurse Practitioner (Family)
17120 KERCHEVAL AVE
GROSSE POINTE, MI 48230
Pharmacist
17120 KERCHEVAL AVE
GROSSE POINTE, MI 48230
Pharmacist
17120 KERCHEVAL AVE
GROSSE POINTE, MI 48230
Nurse Practitioner (Family)
17120 KERCHEVAL AVE
GROSSE POINTE, MI 48230
Nurse Practitioner
17120 KERCHEVAL AVE
GROSSE POINTE, MI 48230

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 Deirdre Tracey's NPI number?

The NPI number for Deirdre Tracey is 1659918258. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Deirdre Tracey located?

Deirdre Tracey practices at 17120 Kercheval Ave, Grosse Pointe, MI 48230. The listed phone number is (313) 886-3300.

What is Deirdre Tracey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deirdre Tracey enrolled in Medicare?

Yes. Deirdre Tracey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Deirdre Tracey accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Deirdre Tracey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deirdre Tracey was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.