Active NPIIndividual provider

Tracy Gillen

Nurse Practitioner, Pediatrics in Fairhaven, Massachusetts

NPI Number1548102916
Practice location
20 Grape St, Fairhaven, MA 02719-1616
Fax
—
Last updated
April 7, 2026

Tracy Gillen is a Nurse Practitioner, Pediatrics based in Fairhaven, MA. Tracy Gillen practices in Fairhaven, MA. The NPI Number for Tracy Gillen is 1548102916 and holds a License No. RN238805 (MA). The current practice location address for Tracy Gillen is 20 Grape St, Fairhaven, MA 02719-1616 and can be reached out via phone at 508-740-0437.

Provider Profile Details

NPI Number
1548102916
Provider Name
Tracy Gillen
Provider Entity Type
Individual
Gender
Female
Address
20 Grape St, Fairhaven, MA 02719-1616
Phone Number
508-740-0437
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
April 7, 2026
Last Update Date
April 7, 2026
Certification Date
April 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Grape St
Fairhaven, MA 02719-1616
Zip
02719-1616
Phone Number
508-740-0437
Fairhaven, MA 02719Get directions →

Provider Business Mailing Address Details

Address
20 Grape St
Fairhaven, MA 02719-1616
City
Fairhaven
State
MA
Zip
02719-1616

License Information

License Number
RN238805
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracy Gillen?

The NPI number of Tracy Gillen is 1548102916. It was assigned on April 7, 2026 and is currently active in the NPPES registry.

What is the specialty of Tracy Gillen?

Tracy Gillen is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN238805.

Where does Tracy Gillen practice?

The practice location is 20 Grape St, Fairhaven, MA 02719-1616. The office can be reached at 508-740-0437 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548102916 directly on the NPPES registry website.

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