Individual provider Active NPI

Sydney Nicole Tracer

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1881355766
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9997 Issued in AZ
Practice address
6200 North Lacholla Blvd
Tucson, AZ 85741-2018
Phone
(765) 413-5166
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 9997 AZ Primary

Addresses

Primary practice location

6200 North Lacholla Blvd
Tucson, AZ 85741-2018

Mailing address

6200 North Lacholla Blvd
Tucson, AZ 85741
Phone (765) 413-5166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20231115003877 AZ Practitioner - Physician Assistant 6608223466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 901-3549

6130 N la Cholla Blvd
Tucson, AZ 85741-3698

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8100

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9997AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

6130 N La Cholla Blvd
Ste 250
Tucson, AZ 85741
Phone (520) 219-8690

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

Interoperability endpoints

  • Direct secure messaging: sydney.tracer.1@1576.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1881355766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 NORTH LACHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "765-413-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 NORTH LACHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412018",
            "telephone_number": "765-413-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACER",
        "first_name": "SYDNEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.