Active NPI
Tracee L Metcalfe, MD
- Internal Medicine Physician
- Vail, CO
National Provider Identifier
1821049446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 44719
- Practice address
- 181 W Meadow Dr
Medical Staff Office
Vail, CO 81657-5242 - Phone
- (970) 390-6449
- Fax
- (970) 479-7282
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 45353 | WA | |
| Internal Medicine Physician | 207R00000X | 44719 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr
Medical Staff Office
Vail, CO 81657-5242
Mailing address
PO Box 40000
Amy Farnell
Vail, CO 81658-7520
Phone (970) 390-6449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06874355 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44719 | CO | MD | Licensed Vocational Nurse |
| 45353 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Mountain Medical, PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1821049446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40000",
"address_2": "AMY FARNELL",
"city": "VAIL",
"state": "CO",
"postal_code": "816587520",
"telephone_number": "970-390-6449",
"fax_number": "970-926-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "MEDICAL STAFF OFFICE",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-390-6449",
"fax_number": "970-479-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALFE",
"first_name": "TRACEE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "45353",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "44719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06874355",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.