Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730928649 Individual Practitioner Male Practitioner

Trae Williams

Physician Assistant • Peterson Space Force Base, CO

Professional Overview & Biography Verified Profile Summary

Trae Williams is a registered healthcare professional specializing in Physician Assistant in Peterson Space Force Base, CO. Practice services are available at 559 VINCENT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

559 Vincent St
Space Base Delta 1

Peterson Space Force Base, CO 80914

Telephone 7206286697

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Peterson Space Force Base, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Peterson Space Force Base, CO (3810 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Brittany Wheat

Physician Assistant - Medical

NPI 1376195586
Samantha Fil , NP

Nurse Practitioner - Acute Care

NPI 1457336406

Nurse Practitioner

Dr. Jeffrey Wentz , MD

Psychiatry & Neurology - Psychiatry

NPI 1487045803

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 14, 2026

Registered at 559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914 (Tel: 7206286697)

📍
Updated Business Mailing Address July 14, 2026

Registered at 559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914 (Tel: 7206286697)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2026

Physician Assistant

📍
Updated Practice Location July 24, 2025

Registered at 559 VINCENT ST SPC BASE, COLORADO SPRINGS, CO 809141541 (Tel: 7195565626)

📍
Updated Business Mailing Address July 24, 2025

Registered at 559 VINCENT ST SPC BASE, COLORADO SPRINGS, CO 809141541 (Tel: 7206286697)

NPI Profile Active May 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2024

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074233000)

📍
Updated Business Mailing Address May 21, 2024

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074233000)

👤
Provider Name / Credentials Updated May 21, 2024

Recorded as TRAE WILLIAMS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730928649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2024
Last Update: July 14, 2026
Sole Proprietor: No

Mailing Address

559 Vincent St, Space Base Delta 1

Peterson Space Force Base, CO 80914

Phone: 7206286697

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.