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Active NPI 1528159910 Individual Practitioner Female Practitioner

Tracey Lynn Mccullough , PA

Physician Assistant • Hart, MI

Professional Overview & Biography Verified Profile Summary

Tracey Mccullough, PA is a registered healthcare professional specializing in Physician Assistant in Hart, MI. Practice services are available at 2481 N 72ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2481 N 72nd Ave

Hart, MI 494208008

Telephone 2318732163
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hart, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Hart, MI (7057 Statewide)

Telehealth Adoption Rate
50.0% 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: 2024-07-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601004691

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

8 Associated Practitioners
Dr. Marlene Berens , DNP

Nurse Practitioner

NPI 1083819536

Doctor of Nursing Practice

Sarah Mokma , PA-C

Physician Assistant

NPI 1184080467

Physician Assistant (Certified)

Dr. John Cooney , DO

Family Medicine

NPI 1477553816

Doctor of Osteopathic Medicine (D.O.)

English Rex , FNP-C

Nurse Practitioner - Family

NPI 1578043683

Family Nurse Practitioner (Certified)

Elizabeth Hanna , NP

Nurse Practitioner - Family

NPI 1588964100

Nurse Practitioner

James Mccann

Social Worker - Clinical

NPI 1730530882

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 31, 2024

Registered at 2481 N 72ND AVE, HART, MI 494208008 (Tel: 2318732163)

📍
Updated Business Mailing Address July 31, 2024

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

NPI Profile Active May 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2008

Registered at 1309 SHELDON RD, GRAND HAVEN, MI 494172404 (Tel: 6168423600)

📍
Updated Business Mailing Address May 19, 2008

Registered at PO BOX 673755, DETROIT, MI 482673755 (Tel: 8668987139)

👤
Provider Name / Credentials Updated May 19, 2008

Recorded as TRACEY MCCULLOUGH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2008

Physician Assistant (License #5601004691 in MI)

🟢
Initial NPI Registration & Enumeration September 28, 2006

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: 1528159910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 31, 2024
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

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.