Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104022896 Individual Practitioner Female Practitioner

Tracy Nickol Connor , PA-C

Physician Assistant • Mesa, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tracy Connor, PA-C is a certified Physician Assistant practicing in Mesa, AZ. With approximately 14 years of clinical experience since graduating from Univ Of Nebraska Medical Center, Col Of Dentistry in 2012, Tracy Connor delivers high-quality medical care to the local community at 1910 S STAPLEY DR STE 209.

Tracy Connor is affiliated with Family Care Center Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1910 S Stapley Dr Ste 209

Mesa, AZ 852046679

Telephone 4803518020
Fax 7043557626
Associated Practice Facility / Clinic
🏢 Family Care Center, Llc Facility NPI 1598535288

Medicare Profile & Education

Medical School

Univ Of Nebraska Medical Center, Col Of Dentistry

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +6.4 yrs vs City Avg
City Avg: 7.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
55.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Connor (14 Years) 14 Yrs
Mesa Specialty Average (7.6 Years) 7.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
43 39 $292.44 $129.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
30 26 $195.18 $90.44
99497 Advance care planning, first 30 minutes
26 26 $154.16 $63.77

Medical Specialties & State Licenses

CMS Verified: 2025-01-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 10332

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0596PA (SC)

Hospital & Practice Group Affiliations

Family Care Center Llc

1910 S Stapley Dr, Mesa, AZ 852046679

Phone: 8883625953

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Rebecca Wigton , MA, LPC

Counselor - Professional

NPI 1023894169

Master of Arts, Licensed Professional Counselor

Dollmarie Adorno Rondon

Counselor - Mental Health

NPI 1255684320
Jordan Field

Social Worker - Clinical

NPI 1275425506
Jennifer Fillmore , LMSW

Social Worker - Clinical

NPI 1396877411

Licensed Master Social Worker

Jeffery Taylor , LCSW

Social Worker - Clinical

NPI 1467627703

Licensed Clinical Social Worker

Dr. Ronit Cohen , MD

Psychiatry & Neurology - Psychiatry

NPI 1568679579

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location February 03, 2025

Registered at 1910 S STAPLEY DR STE 209, MESA, AZ 852046679 (Tel: 4803518020)

📍
Updated Business Mailing Address February 03, 2025

Registered at 1910 S STAPLEY DR STE 209, MESA, AZ 852046679 (Tel: 4803518020)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2025

Physician Assistant (License #10332 in AZ)

👤
Provider Name / Credentials Updated May 01, 2024

Recorded as TRACY CONNOR, PA-C

📍
Updated Practice Location August 08, 2023

Registered at 12230 LIONESS WAY, PARKER, CO 801345603 (Tel: 7206449355)

📍
Updated Business Mailing Address August 08, 2023

Registered at 9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 801123648 (Tel: 7043550076)

NPI Profile Active December 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2007

Registered at 1000 BLYTHE BLVD, CHARLOTTE, NC 282035812 (Tel: 7043550076)

📍
Updated Business Mailing Address December 13, 2007

Registered at 1000 BLYTHE BLVD, CHARLOTTE, NC 282035812 (Tel: 7043550076)

👤
Provider Name / Credentials Updated December 13, 2007

Recorded as TRACY CONNOR-RIDDICK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2007

Physician Assistant (License #102920 in NC)

🟢
Initial NPI Registration & Enumeration June 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tracy Connor. Be the first to share your experience!

Sign in to leave a review for Tracy Connor

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104022896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2007
Last Update: February 03, 2025
Sole Proprietor: No

Mailing Address

1910 S Stapley Dr Ste 209

Mesa, AZ 852046679

Phone: 4803518020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.