MR. TRACEDYN WILLIS
NPI 1265312375
Physician Assistant in Nashville, TN

Q: What is Tracedyn Willis's NPI number?

The NPI number for Tracedyn Willis is 1265312375. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Q: What is Tracedyn Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracedyn Willis was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since September 08, 2025PECOS Enrolled

1301 MEDICAL CENTER DR, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2026, Jun 7, 2026, Sep 8, 2025 (3 updates tracked since 2025).

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About Mr. Tracedyn Willis NPPES

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

MR. TRACEDYN WILLIS (NPI 1265312375) is an individual physician assistant in Nashville, Tennessee, licensed in Tennessee (7226) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1265312375

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. TRACEDYN WILLIS

Location Address1301 MEDICAL CENTER DRNashville, TN 37232-0028

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-6842

Phone(615) 322-5000

Sole ProprietorNo

Enumeration DateSeptember 8, 2025

Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1265312375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 7226

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1301 MEDICAL CENTER DR, Nashville, TN 37232

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Secondary Practice Location 1

Location 11211 Medical Center DrNashville, TN 37232-0004 · Phone (773) 918-9826

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tracedyn Willis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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