MS. TRACY G CIVITILLO MHS, PA-C
NPI 1639235609
Physician Assistant - Medical in Hartford, CT

Active since December 27, 2006
500 BLUE HILLS AVE, HARTFORD, CT 06112(860) 714-4000 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tracy G Civitillo Mhs, Pa-c NPPES

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

MS. TRACY G CIVITILLO MHS, PA-C (NPI 1639235609) is an individual medical provider in Hartford, Connecticut, licensed in Connecticut (000974) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1639235609
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. TRACY G CIVITILLOCredential: MHS, PA-C
Location Address500 BLUE HILLS AVEHartford, CT 06112-1500
Mailing Address71 Hickory Hill RdSimsbury, CT 06070-2832 · (860) 306-2087
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateSeptember 17, 2010
NPI 1639235609 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
License Licensed in CT · 000974
500 BLUE HILLS AVE, Hartford, CT 06112

Other Identifiers 2

Medicare UPIN970002021CT
OtherC03656CT · Medicare

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
500 BLUE HILLS AVE
HARTFORD, CT 06112
Radiology (Diagnostic Radiology)
500 BLUE HILLS AVE
HARTFORD, CT 06112
Nurse Practitioner (Gerontology)
500 BLUE HILLS AVE
HARTFORD, CT 06112
Psychiatric Unit
500 BLUE HILLS AVE
HARTFORD, CT 06112
Surgery
500 BLUE HILLS AVE, WOUND CARE CENTER
HARTFORD, CT 06112
Social Worker (Clinical)
500 BLUE HILLS AVE, MT SINAI HOSPITAL
HARTFORD, CT 06112
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
500 BLUE HILLS AVE
HARTFORD, CT 06112
Counselor (Professional)
500 BLUE HILLS AVE
HARTFORD, CT 06112

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 Civitillo's NPI number?

The NPI number for Tracy Civitillo is 1639235609. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Tracy Civitillo located?

Tracy Civitillo practices at 500 Blue Hills Ave, Hartford, CT 06112. The listed phone number is (860) 714-4000.

What is Tracy Civitillo's specialty?

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

When was this NPI record last updated?

The NPPES record for Tracy Civitillo was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.