Tracie M. Crone, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0001041 Issued in DE

Practice address

34435 King Street Row
Suite 1
Lewes, DE 19958-4787

Phone

(302) 644-1300

Fax

(302) 644-1086

NPI assigned

Jul 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tracie M George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1154753317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34844 PICNIC BASKET CT",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714424",
            "telephone_number": "302-644-1300",
            "fax_number": "302-644-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34435 KING STREET ROW",
            "address_2": "SUITE 1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-1300",
            "fax_number": "302-644-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONE",
        "first_name": "TRACIE",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056271",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C5-0001041",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "GEORGE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Crass, RN, BSN
• Douglas Steven Crate II, MD
• Anna E Crawford, RN
• Alexander Crichton, DPT
• Sharon Crist, RN
• Anna Cecilia Crowe, RN
• Rebecca Crowley
• Theresa Crowson, RN
• Maria Delia Cruz-Darby, LMSW
• Pamela Suehey Cruz, RN

• Physician Assistant in Lewes, DE
• Providers in Lewes, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.