Active NPI
Tracey N Hopper
- Surgical Physician Assistant
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA60701011
- Practice address
- 217 W Cataldo Ave FL 3
Spokane, WA 99201-2217 - Phone
- (509) 747-6194
- NPI assigned
- Mar 20, 2015
- Last updated
- Sep 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60701011 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA60701011 | WA | Primary |
Addresses
Primary practice location
217 W Cataldo Ave FL 3
Spokane, WA 99201-2217
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Other practice location 1
19 N 7th St
Cheney, WA 99004-2220
Phone (509) 838-2531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701
5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 482-0111
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60701011 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Providence Health & Services - Wa | Past | Accepting new patients | |
| Rockwood Clinic PS | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
217 W Cataldo Ave
Fl 3
Spokane, WA 99201
Phone (509) 624-2326
Organizations & group practices 5
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 Providence Medical Group
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
dba Providence Family Medicine Chewelah
- Rural Health Clinic/Center
- Chewelah, WA
- NPI 1639892672
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
dba Providence St. Peter Chemical Dependency Center
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
-
dba Rockwood Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1912252693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1720472491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"fax_number": "509-227-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W CATALDO AVE FL 3",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012217",
"telephone_number": "509-747-6194"
}
],
"practiceLocations": [
{
"address_1": "19 N 7th St",
"address_purpose": "LOCATION",
"city": "Cheney",
"state": "WA",
"postal_code": "990042220",
"country_code": "US",
"telephone_number": "509-838-2531",
"fax_number": "509-755-6580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOPPER",
"first_name": "TRACEY",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-20",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60701011",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60701011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
- Hilary Hopkins, O.D.
- Paige Nicole Hopkins, MA LMFTA
- Ann Marie Hoppe
- Ashley Hoppe
- James C Hoppe, D.D.S.
- Elizabeth Ellen Horgan, LMP
- Horizon Enigma Counseling, PLLC
- Horizon Health Care L L C (Horizon Palliative Care)
- Horizon Health Care LLC (Horizon Hospice and Palliative Care)
- Horizon Health Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.