Florinda Tracey, PA
Individual provider Active NPI Physician Assistant · Page, AZ
NPI 1295033611 · NPPES record last updated Oct 31, 2017
Key facts
- NPI
- 1295033611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4824 (AZ)
- Practice address
- 440 North Navajo Drive
Page, AZ 86040 - Phone
- (928) 645-1700
- Fax
- (928) 645-1701
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tuba City Regional Health Care Corporation
Practice addresses (Care Compare)
167 Main St
Tcrhcc Mobile Medical Clinic
Tuba City, AZ 86045-0600
Phone (928) 283-2501
167 N Main St
Tuba City, AZ 86045-0600
Phone (928) 283-2094
P O Box
Suite 600
Tuba City, AZ 86045-0600
Hospital & facility affiliations
- Tuba City Regional Health Care Corporation
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.59 of 100
- Quality
- 47.51
- Promoting interoperability
- 69
- Improvement activities
- 40
- Cost
- 86.96
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161029000248 | TX | Practitioner - Physician Assistant | 3870778335 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4824 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuba City Regional Health Care Corporation | Current |
Accepting new patients | |
| Lechee Health Facility | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4824 | AZ | Yes |
Addresses
Primary practice location
440 North Navajo Drive
Page, AZ 86040
Mailing address
PO Box 1625
Page, AZ 86040-1625
Phone (928) 645-9675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604841 | Medicaid | AZ |
Other providers in Page, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.