Individual provider Active NPI

Colleen Tracy, MD

  • Family Medicine Physician
  • Dansville, NY
National Provider Identifier
1003313206
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
307993 Issued in NY
Practice address
60 Red Jacket St Ste 1
Dansville, NY 14437-1769
Phone
(585) 335-6041
Fax
(585) 335-6764
NPI assigned
Apr 12, 2018
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 307993 NY Primary

Addresses

Primary practice location

60 Red Jacket St Ste 1
Dansville, NY 14437-1769

Mailing address

10869 State Route 36
Dansville, NY 14437-9444
Phone (585) 335-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914001846 NY Practitioner - Family Practice 1456604487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25 Park Ave
Cohocton, NY 14826-9401
Phone (585) 384-5310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
307993NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Family Medicine Program, Inc. CurrentSince Aug 16, 2021 Accepting new patients
Tri-County Family Medicine Program, Inc. Family Medicine CurrentSince Aug 16, 2021 Accepting new patients

Locations

25 Park Ave
Cohocton, NY 14826
Phone (585) 384-5310

10869 State Route 36
Dansville, NY 14437
Phone (585) 335-3100

60 Red Jacket St
Dansville, NY 14437
Phone (585) 335-4239

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

60 Red Jacket St
Ste 1
Dansville, NY 14437
Phone (585) 335-6041

50 E South St
Ste 700
Geneseo, NY 14454
Phone (585) 243-1700

200 N Main St
Wayland, NY 14572
Phone (585) 728-2044

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCAJAA/Endpoint/BCAJAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1003313206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 STATE ROUTE 36",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379444",
            "telephone_number": "585-335-3100",
            "fax_number": "585-335-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 RED JACKET ST STE 1",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144371769",
            "telephone_number": "585-335-6041",
            "fax_number": "585-335-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "307993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dansville, NY

Sources for this page

Verify at the official NPI Registry.