Individual provider Active NPI

Tracy Mare Powell, PA-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1043797954
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15828 Issued in TX
Practice address
9300 John Hickman Pkwy
Frisco, TX 75035-5711
Phone
(972) 781-0100
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA15828 TX
Physician Assistant 363A00000X PA15828 TX Primary

Addresses

Primary practice location

9300 John Hickman Pkwy
Frisco, TX 75035-5711

Mailing address

9300 John Hickman Pkwy
Frisco, TX 75035-5711
Phone (214) 803-9291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002918 TX Practitioner - Physician Assistant 7618344870 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15828TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2022 Accepting new patients
Perfect Balance Psychiatric Services PLLC CurrentSince Aug 21, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 26, 2024 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Oct 9, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 26, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2022 Accepting new patients
Riverview School District Past Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

9300 John Hickman Pkwy
Ste 101
Frisco, TX 75035
Phone (972) 781-0100

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

7211 Preston Rd
Ste 1200
Plano, TX 75024
Phone (469) 303-3000

3028 Communications Pkwy
Ste 300
Plano, TX 75093
Phone (972) 473-7444

1300 Childrens Way
Ste 130
Prosper, TX 75078
Phone (469) 303-3000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: tpowell1286392@direct.sw.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1043797954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355711",
            "telephone_number": "214-803-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355711",
            "telephone_number": "972-781-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TRACY",
        "middle_name": "MARE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA15828",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.