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MRS. TRACY ELIZABETH MANSOUR NURSE PRACTITIONER
NPI 1942996996
Nurse Practitioner - Family in Mattapan, MA

Active since April 13, 2023PECOS Enrolled
87 W SELDEN ST, MATTAPAN, MA 02126(857) 500-3022 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Apr 13, 2023 (2 updates tracked since 2023).

About Mrs. Tracy Elizabeth Mansour Nurse Practitioner NPPES

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

MRS. TRACY ELIZABETH MANSOUR NURSE PRACTITIONER (NPI 1942996996) is an individual family provider in Mattapan, Massachusetts, licensed in Massachusetts (264410) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942996996
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TRACY ELIZABETH MANSOURCredential: NURSE PRACTITIONER
Location Address87 W SELDEN STMattapan, MA 02126-2346
Mailing Address87 W Selden StMattapan, MA 02126-2346 · (857) 500-3022
Phone(857) 500-3022
Sole ProprietorYes
Enumeration DateApril 13, 2023
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1942996996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · 264410
Also ListedRegistered NurseTaxonomy 163W00000X · License 264410 (MA)
87 W SELDEN ST, Mattapan, MA 02126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Elizabeth Mansour Nurse Practitioner 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 02126 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Mansour's NPI number?

The NPI number for Tracy Mansour is 1942996996. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Tracy Mansour located?

Tracy Mansour practices at 87 W Selden St, Mattapan, MA 02126. The listed phone number is (857) 500-3022.

What is Tracy Mansour's specialty?

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

Is Tracy Mansour enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Mansour was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.