Tracy Reavis , PA-C
Physician Assistant • Bloomfield, NM
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tracy Reavis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Tracy Reavis, PA-C was a registered Physician Assistant practicing in Bloomfield, NM. Throughout an active medical career spanning 14 years, Tracy Reavis provided care at the practice location at 100 N CHURCH ST until profile deactivation on 2020-07-20.
Practice Location & Contact Primary Location
100 N Church St
Ste C
Bloomfield, NM 874135754
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Bloomfield, NM
Practicing in Bloomfield, NM (865 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
Nurse Practitioner - Adult Health
Certified Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 20, 2020
NPI status registered as active in NPPES database
Registered at 100 N CHURCH ST, STE C, BLOOMFIELD, NM 874135754 (Tel: 5056321807)
Registered at PO BOX 6210, FARMINGTON, NM 874996210 (Tel: 5056092258)
Recorded as TRACY REAVIS, PAC
Physician Assistant (License #PA-2006-0055 in NM)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 6210
Farmington, NM 874996210
Phone: 5056092258
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