Tracy Ann Andersen, PNP

Pediatric Nurse Practitioner · Springfield, IL

Individual Active NPI

NPI number 1295826717

Practice location

3501 Old Jacksonville Rd
Springfield, IL 62711-8358
Phone
(217) 528-7541

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NPI record

NPI
1295826717
Entity type
Individual (Type 1)
Enumeration date
September 28, 2006
Last updated
July 31, 2025
Certified
July 31, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 209002042 IL
Pediatric Nurse Practitioner 363LP0200X APRN1006087 FL

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone
(217) 528-7541

About Tracy Andersen

Tracy Ann Andersen, PNP is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 3501 Old Jacksonville Rd, Springfield, IL 62711-8358. The NPI number 1295826717 was assigned on September 28, 2006 and the record was last updated on July 31, 2025.

Tracy Andersen lists 2 licenses in the registry: #209002042 (IL) for Pediatric Nurse Practitioner; #APRN1006087 (FL) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Ann Andersen, PNP?

The NPI number is 1295826717.

What is the phone number of Tracy Andersen?

The phone number listed for the practice location is (217) 528-7541.

Where is Tracy Andersen located?

3501 Old Jacksonville Rd, Springfield, IL 62711-8358.

What is the taxonomy code for Tracy Andersen?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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