Tracy Edward Rogers, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

441 Issued in MT

Practice address

202 Conway Dr Ste 200
Kalispell, MT 59901-3153

Phone

(406) 751-4189

Fax

(406) 751-4145

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Johns Lutheran Hospital IncGroup PAC ID 1557255676, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cabinet Peaks Medical Center Hospital, Libby, MT, CCN 271320

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Medicare reassignment Care Compare group

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

• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1245341874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CONWAY DR STE 200",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013153",
            "telephone_number": "406-751-4189",
            "fax_number": "406-751-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CONWAY DR STE 200",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013153",
            "telephone_number": "406-751-4189",
            "fax_number": "406-751-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TRACY",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4307613",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000097043",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Roesch
• James Glenn Rogers, PSYS.D.
• Karen Louise Rogers, LMT
• Robert Manning Rogers Jr., MD
• Scott William Rogers, MD
• Rojo Ventures, Inc.
• Anthony Michael Rojo, D.C.
• Christopher Paul Romann, MD
• Margarita Romayev, MS, OTR/L
• Corey R Rominger, PA-C

• Surgical Physician Assistant in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Surgical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.