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

MS. Tracy R. Ennis, PA-C

Individual provider Physician Assistant · NPI 1003121609

MS. Tracy R. Ennis, PA-C is a Physician Assistant in Naples, Florida. Qualified in 2010, 16 years ago. Practices with Woodruff Institute LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
16
Licensed in
FL, TX
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2235 Venetian Ct Ste 1
Naples, FL 34109-8728
Phone: (239) 596-9337
Fax: (239) 596-9466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence PA9108883 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA 06798 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA9108883 (FL)

Record details

NPI number1003121609
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2010
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Woodruff Institute Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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