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

Traci Mancuso, APRN

Individual provider Family Nurse Practitioner · NPI 1619069226

Traci Mancuso, APRN is a Nurse Practitioner in Cave Creek, Arizona. Qualified in 2004, 22 years ago. Practices with Bruncuso Holdings LLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Washington.

Years since qualifying
22
Licensed in
AZ, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4425 E Villa Cassandra Way
Cave Creek, AZ 85331-9564
Phone: (206) 755-6699
Fax: (480) 847-2271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 289174 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP30006855 (WA)

Record details

NPI number1619069226
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address4425 E Villa Cassandra Way, Cave Creek, AZ 85331-9564

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Bruncuso Holdings Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Cave Creek