Tracy Shibla, APRN in Palm Coast, FL - Medicare Nurse Practitioner

Tracy Shibla, APRN is a medicare enrolled "Nurse Practitioner - Family" in Palm Coast, Florida. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health System/sunbelt, Inc., Shawnee Mission Medical Center Inc and her current practice location is 37 Old Kings Rd N, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 677-9044.

Tracy Shibla is licensed to practice in Florida (license number ARNP9336184) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881132249.

Contact Information

	Tracy Shibla, APRN
	37 Old Kings Rd N, Palm Coast, FL 32137-8227
	(386) 677-9044
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracy Shibla
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	37 Old Kings Rd N, Palm Coast, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy Shibla graduated from nursing school in 2016

NPI Data:

NPI Number: 1881132249
Provider Enumeration Date: 02/06/2017
Last Update Date: 11/02/2022

Medicare PECOS Information:

PECOS PAC ID: 1658641105
Enrollment ID: I20170717002473

Medical Identifiers

Medical identifiers for Tracy Shibla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881132249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP9336184 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Orlando	Orlando, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health System/sunbelt, Inc.	6406849256	176
Shawnee Mission Medical Center Inc	1153239298	17

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tracy Shibla allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health System/sunbelt, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849

Entity Name	Parks Dermatology Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629063680 PECOS PAC ID: 7315985686 Enrollment ID: O20050419000366

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Shibla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tracy Shibla, APRN 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157 Ph: (386) 677-9044	Tracy Shibla, APRN 37 Old Kings Rd N, Palm Coast, FL 32137-8227 Ph: (386) 677-9044

Reviews and Comments

Nurse Practitioner Nurses in Palm Coast, FL

Lyne Emilie Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Waywell Pl, Palm Coast, FL 32164 Phone: 386-530-1708
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373
Amanda Vera, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811
Traci Serrano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720
Mrs. Venus M. Valliere, ARNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 Fax: 386-246-3960

Tracy Shibla, APRN - Medicare Nurse Practitioner in Palm Coast, FL