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

MS. Tracy Raphaela Neilan, NP

Individual provider Family Nurse Practitioner · NPI 1639462591

MS. Tracy Raphaela Neilan, NP is a Nurse Practitioner in Ladson, South Carolina. Qualified in 2011, 15 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and South Carolina.

Years since qualifying
15
Licensed in
NY, SC
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3495 Iron Horse Rd
Ladson, SC 29456-4319
Phone: (843) 793-5970
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 17574 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F336742-1 (NY)

Record details

NPI number1639462591
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 25, 2011
Last updated in NPPESJanuary 20, 2022
Certification dateJuly 20, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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