TRACY WICKERSHAM-FREY PA-C
NPI 1447653456
Physician Assistant - Medical in Gillette, WY

Active since October 04, 2014PECOS EnrolledAccepts Medicare Assignment
501 S BURMA AVE, GILLETTE, WY 82716(307) 688-1000 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2021, Dec 23, 2020 (2 updates tracked since 2020).

About Tracy Wickersham-frey Pa-c NPPES

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

TRACY WICKERSHAM-FREY PA-C (NPI 1447653456) is an individual medical provider in Gillette, Wyoming and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Campbell County Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447653456
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTRACY WICKERSHAM-FREYCredential: PA-C
Location Address501 S BURMA AVEGillette, WY 82716-3426
Mailing Address1121 Washington BlvdNewcastle, WY 82701-2968 · (307) 746-3582
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 4, 2014
Last NPPES UpdateDecember 27, 20232 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
NPI 1447653456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
501 S BURMA AVE, Gillette, WY 82716

Secondary Practice Locations 2

Location 11121 Washington BlvdNewcastle, WY 82701-2968 · Phone (307) 746-3582
Location 21401 W 5th StSheridan, WY 82801-2705 · Phone (307) 672-1100 · Fax (307) 672-1145

Other Identifiers 1

OtherPA618WY · Pa License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracy Wickersham-frey Pa-c 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.

PECOS PAC ID42539595
PECOS Enrollment IDI20150505000395
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
221 services205 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services46 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services31 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

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.

Nurse Anesthetist, Certified Registered
501 S BURMA AVE
GILLETTE, WY 82716
Internal Medicine (Pulmonary Disease)
501 S BURMA AVE, 3S-PULM
GILLETTE, WY 82716
Internal Medicine (Hematology & Oncology)
501 S BURMA AVE
GILLETTE, WY 82716
Counselor
501 S BURMA AVE
GILLETTE, WY 82716
Nurse Practitioner (Adult Health)
501 S BURMA AVE
GILLETTE, WY 82716
Family Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Emergency Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Social Worker
501 S BURMA AVE
GILLETTE, WY 82716

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 Wickersham-frey's NPI number?

The NPI number for Tracy Wickersham-frey is 1447653456. It was assigned to this individual provider in the NPPES registry on October 4, 2014.

Where is Tracy Wickersham-frey located?

Tracy Wickersham-frey practices at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-1000.

What is Tracy Wickersham-frey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tracy Wickersham-frey enrolled in Medicare?

Yes. Tracy Wickersham-frey 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.

What insurance does Tracy Wickersham-frey accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Tracy Wickersham-frey 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.

Is Tracy Wickersham-frey affiliated with any hospitals?

According to CMS data, Tracy Wickersham-frey is affiliated with Campbell County Health and Sheridan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tracy Wickersham-frey was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.