Individual provider Active NPI

Tracy Ann Seel, PA

  • Physician Assistant
  • Garden City, UT
National Provider Identifier
1326043225
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4842080-1206 Issued in UT
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080507000055 WY Practitioner - Physician Assistant 0143309849 Reassigns benefits to 1 organization
I20210111000699 UT Practitioner - Physician Assistant 0143309849 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince Jan 5, 2025 Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
Skin Care Doctors, P.a. CurrentSince Nov 30, 2020 Accepting new patients
Reese Surgical Group PLLC PastSince Feb 6, 2008 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.