JAY FRANCIS TRACY PA-C, PSYD, LP
NPI 1942260476
Physician Assistant in Golden Valley, MN

Q: What is Jay Tracy's NPI number?

The NPI number for Jay Tracy is 1942260476. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Jay Tracy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jay Tracy was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2006

3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422(612) 588-0811(763) 520-0355 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jay Francis Tracy Pa-c, Psyd, Lp NPPES

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

JAY FRANCIS TRACY PA-C, PSYD, LP (NPI 1942260476) is an individual physician assistant in Golden Valley, Minnesota, licensed in Minnesota (8827) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1942260476

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJAY FRANCIS TRACYCredential: PA-C, PSYD, LP

Location Address3915 GOLDEN VALLEY RD, COURAGE CENTERGolden Valley, MN 55422

Mailing Address3915 Golden Valley Rd, Courage CenterGolden Valley, MN 55422 · (612) 588-0811 · Fax (763) 520-0355

Phone(612) 588-0811

Fax(763) 520-0355

Sole ProprietorNo

Enumeration DateMarch 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942260476 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 MN · 8827

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.

3915 GOLDEN VALLEY RD, Golden Valley, MN 55422

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Other Identifiers 1

Medicare UPINS67393

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.

COURAGE CENTER

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))

3915 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55422

Hennepin County (763) 588-0811

NICOLE B LABERGE PT

Physical Therapist