Traci Wilke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0003504 Issued in CO

Practice address

3726 S Timberline Rd
Fort Collins, CO 80525-4331

Phone

(970) 221-5795

Fax

(970) 221-1371

NPI assigned

May 14, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Center of the RockiesGroup PAC ID 7416120936, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Estes Park Medical Center Hospital, Estes Park, CO, CCN 061312

Merit-based Incentive Payment System (MIPS)

Final score

94.79 of 100Reported as group

Quality

89.58

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: twilke@directaddress.net

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.

• Dermatology Center of the Rockies

  • Dermatology Physician
  • Longmont, CO
  • NPI 1538449558
  Medicare reassignment Care Compare group
• Advanced Dermatology of Colorado, PC

  • Dermatology Physician
  • Fort Collins, CO
  • NPI 1710370648
  Medicare reassignment

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

• Uchealth Estes Valley Medical Center

  • Critical Access Hospital
  • Estes Park, CO
  • NPI 1154312981
  Care Compare affiliation

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1679832489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 S TIMBERLINE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254331",
            "telephone_number": "970-221-5795",
            "fax_number": "970-221-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 S TIMBERLINE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254331",
            "telephone_number": "970-221-5795",
            "fax_number": "970-221-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKE",
        "first_name": "TRACI",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16810",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0003504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerye J Wilde
• Alysia Wiley, PA-C
• Jennifer Joan Wiley, M.P.T.
• Anne Elizabeth Wilgenbusch
• Christopher L Wilgers, LPC
• Kimberly Garrett Wilkerson, RD, LD, CDE
• Lyndie Ray Wilkins Parker, D.O.
• Anna Roth Wilkins, MD
• Barbara Maria Magdalena Wilkins, R. PH
• Bernhard C Wilkins, RPH

• Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.

Verify at the official NPI Registry.