Active NPI
Michaila Marie Traceski, PA
- Physician Assistant
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9390
- Practice address
- 1180 Newfield Ave
Stamford, CT 06905-1409 - Phone
- (314) 888-5233
- NPI assigned
- Jul 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2034 | NH | |
| Physician Assistant | 363A00000X | PA9390 | MA | Primary |
Addresses
Primary practice location
1180 Newfield Ave
Stamford, CT 06905-1409
Mailing address
339 Main St # 1B
Nashua, NH 03060-4663
Phone (508) 768-5473
Other practice location 1
62 Brown St Ste 303
Haverhill, MA 01830-6790
Phone (978) 794-1946
Other practice location 2
16 Pelham Rd Ste 1
Salem, NH 03079-3077
Phone (978) 794-1946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
380 John Fitch Hwy
Fitchburg, MA 01420-4502
Phone (978) 696-3547
757 Boston Post Rd E
Marlborough, MA 01752-3704
Phone (508) 630-8989
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.33 of 100
- Quality
- 45.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6516 | CT | MD | Pediatric Occupational Therapist |
| PA9390 | MA | MD | Physician Assistant |
| 2034 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearchoicemd, PLLC | Current | Accepting new patients | |
| Eone Medical PLLC | Current | Accepting new patients | |
| Eone Medical Subsidiary PLLC | Current | Accepting new patients | |
| Urgent Care Centers of Central Massachusetts, LLC | Current | Accepting new patients | |
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients |
Locations
62 Brown St
Ste 303
Haverhill, MA 01830
Phone (978) 556-9060
757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989
575 Turnpike St
Ste 11
North Andover, MA 01845
Phone (978) 327-6561
410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260
16 Pelham Rd
Ste 1
Salem, NH 03079
Phone (603) 898-2244
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Marlborough, MA
- NPI 1497286280
-
- Orthopaedic Surgery Physician
- Salem, NH
- NPI 1407510712
-
- Orthopaedic Surgery Physician
- Andover, MA
- NPI 1629796321
-
- Pediatrics Physician
- New Canaan, CT
- NPI 1396201307
-
- Urgent Care Clinic/Center
- Goffstown, NH
- NPI 1093295792
-
- Urgent Care Clinic/Center
- South Dennis, MA
- NPI 1740543214
-
- Orthopaedic Surgery Physician
- Andover, MA
- NPI 1629796305
-
- Orthopaedic Surgery Physician
- Salem, NH
- NPI 1215680756
-
- Urgent Care Clinic/Center
- Northborough, MA
- NPI 1417488206
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1356077135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 MAIN ST # 1B",
"city": "NASHUA",
"state": "NH",
"postal_code": "030604663",
"telephone_number": "508-768-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 NEWFIELD AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051409",
"telephone_number": "314-888-5233"
}
],
"practiceLocations": [
{
"address_1": "62 Brown St Ste 303",
"address_purpose": "LOCATION",
"city": "Haverhill",
"state": "MA",
"postal_code": "018306790",
"country_code": "US",
"telephone_number": "978-794-1946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 Pelham Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "NH",
"postal_code": "030793077",
"country_code": "US",
"telephone_number": "978-794-1946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRACESKI",
"first_name": "MICHAILA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "2034",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA9390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.