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

Active since March 11, 2011PECOS EnrolledAccepts Medicare Assignment
348 E 4500 S, MURRAY, UT 84107(801) 965-3600 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracy Lynn Holley Pa-c NPPES

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

MRS. TRACY LYNN HOLLEY PA-C (NPI 1801194097) is an individual surgical provider in Murray, Utah, licensed in Utah (343176-1206) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sandy, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801194097
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. TRACY LYNN HOLLEYCredential: PA-C
Location Address348 E 4500 SMurray, UT 84107-3906
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Phone(801) 965-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 11, 2011
Last NPPES UpdateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1801194097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in UT · 343176-1206
Also ListedPhysician AssistantTaxonomy 363A00000X · License 343176-1206 (UT)
348 E 4500 S, Murray, UT 84107
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Other Names 1

Former Name (1)Miss Tracy Lynn Hepworth P.a.-c.

Secondary Practice Location 1

Location 19844 S 1300 E Ste 100Sandy, UT 84094-4600 · Phone (801) 571-9433 · Fax (801) 572-5607

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.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

Mrs. Tracy Lynn Holley 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 ID1052595394
PECOS Enrollment IDI20110411000316
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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
455 services97 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
42 services27 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
40 services37 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
24 services17 patients

Other Providers at the Same Location NPPES 17

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

DR. ROBIN GAY MAINWARING MD
Obstetrics & Gynecology (Gynecology)
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 268-8222
GRANGER MEDICAL CLINIC, PC
Non-Pharmacy Dispensing Site
348 E 4500 S
MURRAY, UT 84107
Salt Lake County (801) 965-3600
FINAL KICK ANKLE AND FOOT CLINIC LLC
Podiatrist (Foot & Ankle Surgery)
348 E 4500 S, SUITE 370
SALT LAKE CITY, UT 84107
Salt Lake County (804) 687-5191
SYNERGIES SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
348 E 4500 S, SUITE 230
SALT LAKE CITY, UT 84107
Salt Lake County (801) 685-6400
WASATCH INFUSION SERVICES, INC.
Specialist
348 E 4500 S, SUITE 220
SALT LAKE CITY, UT 84107
Salt Lake County (801) 577-7055
BARBARA HURST M.D.
Obstetrics & Gynecology (Gynecology)
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 262-9800
SHAWN L HAZEN LCSW
Social Worker (Clinical)
348 E 4500 S, STE 360
SALT LAKE CITY, UT 84107
Salt Lake County (385) 272-4292
JADE LUBECK
Social Worker (Clinical)
348 E 4500 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 971-0446

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 Holley's NPI number?

The NPI number for Tracy Holley is 1801194097. It was assigned to this individual provider in the NPPES registry on March 11, 2011. The provider is also known as Miss Tracy Lynn Hepworth P.A.-C..

Where is Tracy Holley located?

Tracy Holley practices at 348 E 4500 S, Murray, UT 84107. The listed phone number is (801) 965-3600.

What is Tracy Holley's specialty?

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

Is Tracy Holley enrolled in Medicare?

Yes. Tracy Holley 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 Holley accept?

Health plans from Select Health and University of Utah Health Plans list Tracy Holley 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.

When was this NPI record last updated?

The NPPES record for Tracy Holley was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.