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

Tracy Lynn Boetto, FNP

Individual provider Nurse Practitioner · NPI 1780169854

Tracy Lynn Boetto, FNP is a Nurse Practitioner in Concord, North Carolina. Qualified in 2018, 8 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5303 Poplar Tent Rd Ste 90
Concord, NC 28027-9720
Phone: (980) 866-4493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13521 Steelecroft Pkwy Ste B, Charlotte, NC 28278-7889 — (704) 315-5845

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5011024 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5011024 (NC)

Record details

NPI number1780169854
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Concord