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Active NPI 1205814662 Individual Practitioner Female Practitioner

Joann M Tracy , PA-C

Physician Assistant - Medical • Pullman, WA

Professional Overview & Biography Verified Profile Summary

Joann Tracy, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Pullman, WA. Practice services are available at 915 NE VALLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

915 Ne Valley Rd

Pullman, WA 99163

Telephone 5093323548
Fax 5093325253
Associated Practice Facility / Clinic
🏢 Pullman Family Medicine Facility NPI 1174668412

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Pullman, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Pullman, WA (1096 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

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License WA PA10003597

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1823905 (WA)

Practice Associates & Co-Workers

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

13 Associated Practitioners
NPI 1023706215

Doctor of Medicine (M.D.)

Dr. Kaz Brodsky , MD

Family Medicine

NPI 1184158560

Doctor of Medicine (M.D.)

Dr. David Spencer , MD

Family Medicine

NPI 1194703934

Doctor of Medicine (M.D.)

NPI 1295713667

Doctor of Medicine (M.D.)

Angeline Smith , ARNP

Nurse Practitioner

NPI 1306524012

Advanced Registered Nurse Practitioner

Dr. Shaleah Jones , MD

Family Medicine

NPI 1306871603

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2010

Registered at 915 NE VALLEY RD, PULLMAN, WA 99163 (Tel: 5093323548)

📍
Updated Business Mailing Address September 02, 2010

Registered at 915 NE VALLEY RD, PULLMAN, WA 991633845 (Tel: 5093323548)

👤
Provider Name / Credentials Updated September 02, 2010

Recorded as JOANN TRACY, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2010

Physician Assistant (License #PA10003597 in WA)

🟢
Initial NPI Registration & Enumeration January 05, 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: 1205814662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2006
Last Update: September 02, 2010
Sole Proprietor: No

Mailing Address

915 Ne Valley Rd

Pullman, WA 991633845

Phone: 5093323548

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.