Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deirdre Tara Tracey

Individual provider Family Nurse Practitioner · NPI 1659918258

Deirdre Tara Tracey is a Nurse Practitioner in Grosse Pointe, Michigan. Qualified in 2019, 7 years ago. Practices with Total Extended Care Services PC, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019

Practice location Address checks out

17120 Kercheval Ave
Grosse Pointe, MI 48230-1661
Phone: (313) 886-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704303811 (MI)

Record details

NPI number1659918258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2019
Last updated in NPPESMarch 24, 2025
Certification dateMarch 19, 2025
Mailing address17120 Kercheval Ave, Grosse Pointe, MI 48230-1661

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Total Extended Care Services Pc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grosse Pointe