NPIMap

Individual provider Active NPI

Tracey Buchheister, PA-C

  • Physician Assistant
  • Shippensburg, PA
National Provider Identifier
1356434039
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003091L Issued in PA
Practice address
93 Progress Blvd
Shippensburg, PA 17257-9595
Phone
(717) 532-3211
Fax
(717) 532-3099
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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 MA003091L PA Primary

Addresses

Primary practice location

93 Progress Blvd
Shippensburg, PA 17257-9595

Mailing address

93 Progress Blvd
Shippensburg, PA 17257-9595
Phone (717) 532-3211

Other practice location 1

1871 Old Main Drive
Shippensburg, PA 17257
Phone (717) 477-1458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181129000322 PA Practitioner - Physician Assistant 3678817897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Drew Wellmon II D.O.,P.C.Group PAC ID 5698836583, 4 clinicians

Practice addresses (Care Compare)

93 Progress Blvd
Shippensburg, PA 17257-9595
Phone (717) 532-3211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tbuchheister@wellmonfamilypractice.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1356434039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PROGRESS BLVD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579595",
            "telephone_number": "717-532-3211",
            "fax_number": "717-532-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 PROGRESS BLVD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579595",
            "telephone_number": "717-532-3211",
            "fax_number": "717-532-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 Old Main Drive",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "17257",
            "country_code": "US",
            "telephone_number": "717-477-1458",
            "fax_number": "717-477-4042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHHEISTER",
        "first_name": "TRACEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003091L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

Verify at the official NPI Registry.