Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Marie Tracy, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1790436749

Lauren Marie Tracy, AGPCNP-BC is a Nurse Practitioner in Charlotte, North Carolina. Graduated from Vanderbilt University School of Medicine in 2021, 5 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Trained at
Vanderbilt University School of Medicine
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

1021 Morehead Medical Dr
Charlotte, NC 28204-2990
Phone: (980) 442-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5015605 (NC)

Record details

NPI number1790436749
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedJanuary 11, 2022
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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