Active NPI
Tracy Ann Seel, PA
- Physician Assistant
- Garden City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4842080-1206
- Practice address
- 288 S Paradise Parkway
P.O. Box 154
Garden City, UT 84028 - Phone
- (435) 255-1630
- Fax
- (435) 946-9124
- NPI assigned
- Jun 16, 2005
- Last updated
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4842080-1206 | UT | Primary |
Addresses
Primary practice location
288 S Paradise Parkway
P.O. Box 154
Garden City, UT 84028
Mailing address
288 S Paradise Parkway
P.O. Box 154
Garden City, UT 84028
Phone (435) 255-1630
Other names 1
- Tracy Jackson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lake County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| Skin Care Doctors, P.a. | Current | Accepting new patients | |
| Reese Surgical Group PLLC | Past | Accepting new patients |
Locations
14000 Nicollet Ave
Ste 304
Burnsville, MN 55337
Phone (952) 898-1600
1350 Lesauk Dr
Sartell, MN 56377
Phone (320) 252-7546
Organizations & group practices 6
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.
-
dba BLMH Bear Lake Clinic
- Multi-Specialty Clinic/Center
- Garden City, UT
- NPI 1538916333
Family Medicine
-
- Family Medicine Physician
- Rock Springs, WY
- NPI 1023169778
-
dba Trinity Hospital
- Critical Access Hospital
- Weaverville, CA
- NPI 1750462271
-
- Medical Specialty Clinic/Center
- Burnsville, MN
- NPI 1851516397
-
- Vascular Surgery Physician
- Edina, MN
- NPI 1972762631
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba County of Sweetwater
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1326043225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 S PARADISE PARKWAY",
"address_2": "P.O. BOX 154",
"city": "GARDEN CITY",
"state": "UT",
"postal_code": "84028",
"telephone_number": "435-255-1630",
"fax_number": "435-946-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 S PARADISE PARKWAY",
"address_2": "P.O. BOX 154",
"city": "GARDEN CITY",
"state": "UT",
"postal_code": "84028",
"telephone_number": "435-255-1630",
"fax_number": "435-946-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEL",
"first_name": "TRACY",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "4842080-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "JACKSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Garden City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.