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MRS. TRACY PETERSON R.P.A.C.
NPI 1669563136
Physician Assistant in Islandia, NY

Active since September 27, 2006PECOS Enrolled
1770 MOTOR PKWY, ISLANDIA, NY 11749(631) 434-1770(631) 434-1254 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracy Peterson R.p.a.c. NPPES

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

MRS. TRACY PETERSON R.P.A.C. (NPI 1669563136) is an individual physician assistant in Islandia, New York, licensed in New York (008224) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669563136
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TRACY PETERSONCredential: R.P.A.C.
Location Address1770 MOTOR PKWYIslandia, NY 11749-5260
Mailing Address3001 Expressway Dr NIslandia, NY 11749-5301 · (631) 434-1770 · Fax (631) 434-1254
Phone(631) 434-1770
Fax(631) 434-1254
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateOctober 2, 2018
✔ NPI 1669563136 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 NY · 008224
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.
1770 MOTOR PKWY, Islandia, NY 11749
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Peterson R.p.a.c. 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 11749 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 11

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

THE THERAPY SPOT FOR PEDIATRIC & ADULT SPEECH PHYSICAL OCCUPATIONAL TH
Early Intervention Provider Agency
1770 MOTOR PKWY, SUITE 202
ISLANDIA, NY 11749
Suffolk County (631) 582-0088
MS. TRACY MANNERS
Nurse Practitioner (Pediatrics)
1770 MOTOR PKWY
HAUPPAUGE, NY 11749
Suffolk County (631) 434-1770
KERRI LYNN FAITHFULL COTA
Occupational Therapy Assistant
1770 MOTOR PKWY
ISLANDIA, NY 11749
Suffolk County (631) 582-0088
NORMA BETH LENNON OCCUPATIONAL THERAPI
Specialist
1770 MOTOR PKWY
HAUPPAUGE, NY 11749
Suffolk County (631) 582-0088
DR. LAURA B BENNETT M.D.
Pediatrics
1770 MOTOR PKWY
ISLANDIA, NY 11749
Suffolk County (631) 434-1770
NORTH SHORE - LIJ PEDIATRICS OF SUFFOLK COUNTY, P.C.
Pediatrics
1770 MOTOR PKWY
ISLANDIA, NY 11749
Suffolk County (516) 823-8997
MRS. LINDA MURATORE MA CCC SLP
Speech-Language Pathologist
1770 MOTOR PKWY
HAUPPAUGE, NY 11749
Suffolk County (631) 582-0088
MRS. CAROLYN PATRICIA REUTER OTR/L
Occupational Therapist
1770 MOTOR PKWY, SUITE 202
HAUPPAUGE, NY 11749
Suffolk County (631) 582-0088

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 Peterson's NPI number?

The NPI number for Tracy Peterson is 1669563136. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Tracy Peterson located?

Tracy Peterson practices at 1770 Motor Pkwy, Islandia, NY 11749. The listed phone number is (631) 434-1770.

What is Tracy Peterson's specialty?

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

Is Tracy Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Peterson was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.