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

MS. Maurie Dolores Tracy, ANP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1053630103

MS. Maurie Dolores Tracy, ANP-BC is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2009, 17 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2010
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Practice location Address checks out

10426 Baur Blvd
Saint Louis, MO 63132-1905
Phone: (314) 925-0903
Fax: (314) 764-2279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15201 Olive Blvd, Chesterfield, MO 63017-1810 — (314) 925-0903

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2010012804 (MO)

Record details

NPI number1053630103
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedMay 27, 2010
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Louis