Individual provider Active NPI

David Scott Trcka, PA-C

  • Physician Assistant
  • Delano, MN
National Provider Identifier
1891266730
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12867 Issued in MN
Practice address
916 St. Peter Ave E
Delano, MN 55328-2813
Phone
(952) 442-7800
NPI assigned
Dec 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 12867 MN Primary

Addresses

Primary practice location

916 St. Peter Ave E
Delano, MN 55328-2813

Mailing address

5304 Nicklaus Dr NW
Rochester, MN 55901-3766
Phone (507) 259-2555

Other practice location 1

165 W Commerce Dr
Belle Plaine, MN 56011-2911
Phone (952) 777-5661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20190315002164 MN Practitioner - Physician Assistant 3971843699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

560 S Maple St
Waconia, MN 55387-1759

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

916 Saint Peter Ave E
Delano, MN 55328-2813
Phone (952) 442-7800

Hospital & facility affiliations

  • Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12867MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Medical Center CurrentSince Feb 25, 2019 Accepting new patients
Sibley Medical Center CurrentSince Feb 25, 2019 Accepting new patients
Ridgeview Medical Center CurrentSince Feb 25, 2019 Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

165 W Commerce Dr
Belle Plaine, MN 56011
Phone (952) 777-5661

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 4

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 2

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1891266730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 NICKLAUS DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013766",
            "telephone_number": "507-259-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 ST. PETER AVE E",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553282813",
            "telephone_number": "952-442-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 W Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Belle Plaine",
            "state": "MN",
            "postal_code": "560112911",
            "country_code": "US",
            "telephone_number": "952-777-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRCKA",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, MN

Sources for this page

Verify at the official NPI Registry.