DR. TRACY RENEE EXLEY M.D
NPI 1033314794
Internal Medicine - Adolescent Medicine in San Jose, CA

Active since June 20, 2007PECOS Enrolled
840 GUADALUPE PKWY, SAN JOSE, CA 95110(408) 299-4841(408) 299-2511 Get Directions Write a Review

NPPES record last updated: July 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tracy Renee Exley M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACY RENEE EXLEY M.D (NPI 1033314794) is an individual adolescent medicine provider in San Jose, California, licensed in California (A108233) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1033314794
Entity TypeIndividualFemale
Primary Taxonomy207RA0000X
Provider Legal NameDR. TRACY RENEE EXLEYCredential: M.D
Location Address840 GUADALUPE PKWYSan Jose, CA 95110
Mailing Address1132 Sw 13th AvePortland, OR 97205-1703 · (503) 535-3827
Fax(408) 299-2511
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 1, 2018
✔ NPI 1033314794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in CA · A108233
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A108233 (CA), MD173883 (OR)
Also ListedPediatricsTaxonomy 208000000X · License A108233 (CA), MD173883 (OR)
840 GUADALUPE PKWY, San Jose, CA 95110

Other Names 1

Former Name (1)Tracy Renee Powell

Secondary Practice Location 1

Location 11132 SW 13th AvePortland, OR 97205-1703 · Phone (503) 535-3827

Other Identifiers 1

Medicaid181599OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy Renee Exley M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Exley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1144 S 2ND ST
San Jose, CA 95112
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
840 GUADALUPE PKWY
SAN JOSE, CA 95110
Social Worker (Clinical)
840 GUADALUPE PKWY
SAN JOSE, CA 95110
Marriage & Family Therapist
840 GUADALUPE PKWY
SAN JOSE, CA 95110
Marriage & Family Therapist
840 GUADALUPE PKWY
SAN JOSE, CA 95110
Community/Behavioral Health
840 GUADALUPE PKWY
SAN JOSE, CA 95110
Public Health or Welfare
840 GUADALUPE PKWY
SAN JOSE, CA 95110
Social Worker
840 GUADALUPE PKWY
SAN JOSE, CA 95110
Clinic/Center (Prison Health)
840 GUADALUPE PKWY
SAN JOSE, CA 95110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Exley's NPI number?

The NPI number for Tracy Exley is 1033314794. It was assigned to this individual provider in the NPPES registry on June 20, 2007. The provider is also known as Tracy Renee Powell.

Where is Tracy Exley located?

Tracy Exley practices at 840 Guadalupe Pkwy, San Jose, CA 95110. The listed phone number is (408) 299-4841.

What is Tracy Exley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Tracy Exley enrolled in Medicare?

Yes. Tracy Exley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Exley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Exley reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Exley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Exley was last updated on July 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.