Individual provider Active NPI

Tracey McKinzie, P.A.

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1265703581
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03337 Issued in NC
Practice address
1025 Medical Center Dr Ste 201
Wilmington, NC 28401-7355
Phone
(910) 444-0707
Fax
(910) 444-0708
NPI assigned
Jan 18, 2012
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03337 NC Primary

Addresses

Primary practice location

1025 Medical Center Dr Ste 201
Wilmington, NC 28401-7355

Mailing address

1025 Medical Center Dr Ste 201
Wilmington, NC 28401-7355
Phone (910) 444-0707

Other practice location 1

1604 Physicians Dr Ste 103
Wilmington, NC 28401-7349
Phone (910) 444-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210107000861 NC Practitioner - Physician Assistant 8022421205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Eye, P.a.Group PAC ID 8921034323, 29 clinicians

Practice addresses (Care Compare)

1025 Medical Ctr Dr
Suite 201
Wilmington, NC 28401-7355
Phone (910) 763-3601

1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601

Merit-based Incentive Payment System (MIPS)

Final score
89.61 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40
Cost
73.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-03337NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Eye, P.a. CurrentSince Jan 4, 2021 Accepting new patients

Locations

205 US Highway 117 S
Burgaw, NC 28425
Phone (910) 736-3601

1025 Medical Center Dr
Ste 201
Wilmington, NC 28401
Phone (910) 338-2773

1729 Medical Park
#P
Wilmington, NC 28403

1729 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 772-8261

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tmckinzie@wileye.intellechartdirect.net
  • Direct secure messaging: tmckinzie1249222@direct.novanthealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1265703581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017355",
            "telephone_number": "910-444-0707",
            "fax_number": "910-444-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017355",
            "telephone_number": "910-444-0707",
            "fax_number": "910-444-0708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Physicians Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017349",
            "country_code": "US",
            "telephone_number": "910-444-0707",
            "fax_number": "910-444-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINZIE",
        "first_name": "TRACEY",
        "name_prefix": "Miss",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.