TRACY ANNE CHISHOLM PA-C
NPI 1740378033
Physician Assistant - Surgical in Robbinsdale, MN

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
3366 OAKDALE AVE N, SUITE 103, ROBBINSDALE, MN 55422(763) 520-7870(763) 520-7580 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tracy Anne Chisholm Pa-c NPPES

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

TRACY ANNE CHISHOLM PA-C (NPI 1740378033) is an individual surgical provider in Robbinsdale, Minnesota, licensed in Minnesota (10830) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1740378033
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTRACY ANNE CHISHOLMCredential: PA-C
Location Address3366 OAKDALE AVE N, SUITE 103Robbinsdale, MN 55422-2948
Mailing Address4200 Dahlberg Dr, Suite 300Golden Valley, MN 55422-4840 · (952) 512-5600 · Fax (952) 512-5651
Fax(763) 520-7580
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 11, 2006
Last NPPES UpdateFebruary 3, 2015
✔ NPI 1740378033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 10830
3366 OAKDALE AVE N, Robbinsdale, MN 55422

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 Anne Chisholm 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 ID3678470390
PECOS Enrollment IDI20110203001161
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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
260 services22 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
29 services23 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
15 services14 patients
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.
13 services11 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

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.

Physician Assistant
3366 OAKDALE AVE N, SUITE 103
MINNEAPOLIS, MN 55422
Nurse Practitioner
3366 OAKDALE AVE N, SUITE 605
ROBBINSDALE, MN 55422
Physician Assistant
3366 OAKDALE AVE N, SUITE 103
ROBBINSDALE, MN 55422
Nurse Practitioner (Gerontology)
3366 OAKDALE AVE N, SUITE 551
ROBBINSDALE, MN 55422
Nurse Practitioner (Psychiatric/Mental Health)
3366 OAKDALE AVE N
ROBBINSDALE, MN 55422
Internal Medicine (Gastroenterology)
3366 OAKDALE AVE N, SUITE 315
ROBBINSDALE, MN 55422
Surgery
3366 OAKDALE AVE N, SUITE 200 MAIL STOP 33500A
ROBBINSDALE, MN 55422
Specialist
3366 OAKDALE AVE N, 150
ROBBINSDALE, MN 55422

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 Chisholm's NPI number?

The NPI number for Tracy Chisholm is 1740378033. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Tracy Chisholm located?

Tracy Chisholm practices at 3366 Oakdale Ave N Suite 103, Robbinsdale, MN 55422. The listed phone number is (763) 520-7870.

What is Tracy Chisholm's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tracy Chisholm enrolled in Medicare?

Yes. Tracy Chisholm 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 Chisholm accept?

Health plans from HealthPartners and Medica list Tracy Chisholm 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 Chisholm affiliated with any hospitals?

According to CMS data, Tracy Chisholm is affiliated with Ridgeview Medical Center and M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Tracy Chisholm was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.