DR. TRACY A PARK MD
NPI 1194712455
Physical Medicine & Rehabilitation in Milwaukee, WI
About Dr. Tracy A Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRACY A PARK MD (NPI 1194712455) is an individual physical medicine & rehabilitation provider in Milwaukee, Wisconsin, licensed in Wisconsin (30606) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tracy A Park Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tracy Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
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 Park's NPI number?
The NPI number for Tracy Park is 1194712455. It was assigned to this individual provider in the NPPES registry on October 3, 2005.
Where is Tracy Park located?
Tracy Park practices at 4111 W Mitchell St Ste 300, Milwaukee, WI 53215. The listed phone number is (414) 385-8800.
What is Tracy Park's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Tracy Park enrolled in Medicare?
Yes. Tracy Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tracy Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Park reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). 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 Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Park accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Tracy Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tracy Park was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.