Individual provider Active NPI

Tracie Schmidt, PA

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1740251644
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TPPA844 Issued in FL
Practice address
146 2ND St N Ste 101
St Petersburg, FL 33701-3361
Phone
(727) 490-9911
NPI assigned
Jan 30, 2006
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1148 WI
Physician Assistant 363A00000X 56241 CA
Physician Assistant 363A00000X TPPA844 FL Primary

Addresses

Primary practice location

146 2ND St N Ste 101
St Petersburg, FL 33701-3361

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000

Other practice location 2

750 Redwood Hwy Frontage Rd Ste 1210
Mill Valley, CA 94941-2483
Phone (888) 663-6331

Other practice location 3

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 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
I20040731000261 WI Practitioner - Physician Assistant 1456346824 Reassigns benefits to 1 organization
I20190311002574 CA Practitioner - Physician Assistant 1456346824 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240MTMDAcupuncturist
56241CAMDPharmacist
TPPA844FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Health Services, Inc. CurrentSince Sep 19, 2015 Accepting new patients
Bionic Bloom CurrentSince Sep 1, 2022 Accepting new patients
One Medical Group, Inc. CurrentSince Nov 4, 2018 Accepting new patients
Neurodivergent Empowerment Institute Inc CurrentSince Feb 2, 2025 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Sep 19, 2015 Accepting new patients
One Medical Group, Inc CurrentSince Nov 4, 2018 Accepting new patients

Locations

1801 Shattuck Ave
Ste A
Berkeley, CA 94709
Phone (510) 225-1025

329 Primrose Rd
Burlingame, CA 94010
Phone (650) 288-1200

350 Bon Air Ctr
Ste 200
Greenbrae, CA 94904
Phone (415) 578-3095

750 Redwood Hwy Frontage Rd
Ste 1210
Mill Valley, CA 94941

590 Forest Ave
Palo Alto, CA 94301
Phone (650) 288-4080

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

2410 California St
San Francisco, CA 94115
Phone (415) 529-4050

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

146 2nd St N
Ste 101
St Petersburg, FL 33701
Phone (727) 490-9911

146 2nd St N
Ste 203
St Petersburg, FL 33701
Phone (720) 791-7324

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1740251644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 2ND ST N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013361",
            "telephone_number": "727-490-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Water Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "WI",
            "postal_code": "546349054",
            "country_code": "US",
            "telephone_number": "608-489-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Redwood Hwy Frontage Rd Ste 1210",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949412483",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Water Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "WI",
            "postal_code": "546349054",
            "country_code": "US",
            "telephone_number": "608-489-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "TRACIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1148",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56241",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "TPPA844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.