MRS. TRACY LYNN HOLLEY PA-C
NPI 1801194097
Physician Assistant - Surgical in Murray, UT

NPI Status: Active since March 11, 2011

Contact Information

348 E 4500 S
MURRAY, UT
ZIP 84107
Phone: (801) 965-3600

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  • Individual
  • Female
  • Years of Experience 16
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TRACY HOLLEY

This page provides the complete NPI Profile along with additional information for Tracy Holley, a provider established in Murray, Utah with a medical specialization in Physician Assistant, focusing in surgical and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1801194097 assigned on March 2011. The practitioner's primary taxonomy code is 363AS0400X with license number 343176-1206 (UT). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1801194097
Provider Name
MRS. TRACY LYNN HOLLEY PA-C
Other Name
MISS TRACY LYNN HEPWORTH P.A.-C.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
348 E 4500 S MURRAY, UT 84107
Location Phone
(801) 965-3600
Mailing Address
2965 W 3500 S WEST VALLEY CITY, UT 84119
Mailing Phone
(801) 965-3600
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
03-11-2011
Last Update Date
04-15-2026
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Location Map

Secondary Locations

  • 9844 S 1300 E Ste 100
    Sandy, UT 84094
    (801) 571-9433

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
343176-1206
License State
UT

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

343176-1206 (UT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Signature Benchmark Silver 5900 Medical Deductible - HMO
  • Signature Benchmark Silver Standardized Plan - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Tracy Holley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tracy Holley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1052595394

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110411000316

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician

This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.

This service was performed 29 times for 14 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 553 times for 101 patients

Ultrasonic guidance for needle placement

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

This service was performed 25 times for 13 patients

Reviews for MRS. TRACY LYNN HOLLEY PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801194097, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 2 + 9 + 8 + 0 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1801194097.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Nurse Practitioner
348 E 4500 S, #200
SALT LAKE CITY, UT 84107
Specialist
348 E 4500 S, SUITE 200
MURRAY, UT 84107
Colon & Rectal Surgery
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Specialist
348 E 4500 S, SUITE 220
MURRAY, UT 84107
Specialist
348 E 4500 S, SUITE 220
SALT LAKE CITY, UT 84107
Obstetrics & Gynecology (Gynecology)
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Specialist
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Social Worker (Clinical)
348 E 4500 S, SUITE 360
SALT LAKE CITY, UT 84107
Social Worker (Clinical)
348 E 4500 S, STE 360
SALT LAKE CITY, UT 84107
Podiatrist (Foot & Ankle Surgery)
348 E 4500 S, SUITE 370
SALT LAKE CITY, UT 84107
Social Worker (Clinical)
348 E 4500 S
SALT LAKE CITY, UT 84107
Clinic/Center (Ambulatory Surgical)
348 E 4500 S, SUITE 230
SALT LAKE CITY, UT 84107
Surgery
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Counselor (Mental Health)
348 E 4500 S
MURRAY, UT 84107
Obstetrics & Gynecology (Gynecology)
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Non-Pharmacy Dispensing Site
348 E 4500 S
MURRAY, UT 84107
Nurse Practitioner
348 E 4500 S
MURRAY, UT 84107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801194097, enumerated as an "individual" on March 11, 2011.

The provider is located at 348 E 4500 S MURRAY, UT 84107 and the phone number is (801) 965-3600.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Select Health and University of Utah Health Plans. Please consult your insurance carrier or call the provider to verify.