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MRS. TRACY LYNN VACCA PA-C
NPI 1851319081
Physician Assistant in Fargo, ND

Active since July 17, 2006PECOS Enrolled
2101 ELM ST N, FARGO, ND 58102(701) 232-3241 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2025, Feb 20, 2017 (2 updates tracked since 2017).

About Mrs. Tracy Lynn Vacca Pa-c NPPES

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

MRS. TRACY LYNN VACCA PA-C (NPI 1851319081) is an individual physician assistant in Fargo, North Dakota, licensed in Alaska (103981) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851319081
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TRACY LYNN VACCACredential: PA-C
Location Address2101 ELM ST NFargo, ND 58102-2417
Mailing Address2101 Elm St NFargo, ND 58102-2417
Phone(701) 232-3241
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1851319081 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 AK · 103981
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.
2101 ELM ST N, Fargo, ND 58102
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Other Names 1

Former Name (1)Ms. Tracy Lynn Callinan Pa-c

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 Lynn Vacca Pa-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 58102 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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 20

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

GWEN P NORDAHL PA-C
Physician Assistant
2101 ELM ST N
FARGO, ND 58102
Cass County (218) 739-1400
ERICA MUCHOW RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
JAZMYN RHEA HOGENSON RN
Registered Nurse (Medical-Surgical)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 234-3241
HILLARY KATHERINE THEURER MSW
Social Worker
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 333-8135
KEVIN MCCARVEL RN
Registered Nurse (Ambulatory Care)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 239-3700
INDRA P BHATTARAI
Specialist/Technologist, Pathology (Medical Technologist)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 232-3241
MS. ROBIN LEE HARTMAN-BILBEN RN
Registered Nurse (Emergency)
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 237-2611
CEISHA LEINGANG RN
Registered Nurse
2101 ELM ST N
FARGO, ND 58102
Cass County (701) 255-2048

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 Vacca's NPI number?

The NPI number for Tracy Vacca is 1851319081. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Ms. Tracy Lynn Callinan Pa-C.

Where is Tracy Vacca located?

Tracy Vacca practices at 2101 Elm St N, Fargo, ND 58102. The listed phone number is (701) 232-3241.

What is Tracy Vacca's specialty?

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

Is Tracy Vacca enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Vacca was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.