Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ms. Tracy R. Ennis, PA-C
Dermatology Physician in Naples, FL · enumerated 2010.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1003121609
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Registry record
Entity type Individual (Type 1)
Name Ms. Tracy R. Ennis
Credential PA-C
Sex Female
Practice address 2235 Venetian Court, Suite 1, Naples, FL, 34109
Phone (239) 596-9337
Fax (239) 596-9466
Enumeration date Aug 9, 2010
Last updated in NPPES Apr 24, 2023
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA 06798 (TX) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9108883 (FL) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License PA9108883 (FL) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WYB4U | Other | FL | BCBS |
| 017347700 | Medicaid | FL | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Tracy Ennis practice?
The practice location on file with NPPES is in Naples, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Tracy Ennis?
The National Provider Identifier (NPI) for Tracy Ennis is 1003121609, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → Stephen Vitale Dermatology Physician · Naples, FL NPI 1356357289 Tiffany Jordan Physician Assistant · Naples, FL NPI 1407072341 Samantha Fisher Dermatology Physician · Naples, FL NPI 1114124542 Sarah Schloss Physician Assistant · Naples, FL NPI 1376732511 Jaclyn Smith Dermatology Physician · Naples, FL NPI 1235669755
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-24.