TRACY LE DZIACKY PA
NPI 1972257558
Physician Assistant in Lincoln, NE

Active since February 11, 2022PECOS EnrolledAccepts Medicare Assignment
4701 NORMAL BLVD, LINCOLN, NE 68506(402) 488-5050 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Nov 15, 2024, May 6, 2022 and 1 more (4 updates tracked since 2022).

About Tracy Le Dziacky Pa NPPES

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

TRACY LE DZIACKY PA (NPI 1972257558) is an individual physician assistant in Lincoln, Nebraska, licensed in Florida (PA9115362) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1972257558
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTRACY LE DZIACKYCredential: PA
Location Address4701 NORMAL BLVDLincoln, NE 68506-5563
Mailing Address4701 Normal BlvdLincoln, NE 68506-5563 · (402) 488-5050
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 11, 2022
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1972257558 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 FL · PA9115362
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.

Secondary Practice Location 1

Location 13665 Madaca LnTampa, FL 33618-2048 · Phone (813) 280-7380 · Fax (813) 355-5899

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 Le Dziacky Pa 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 ID3274928585
PECOS Enrollment IDI20250103000823
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
113 services99 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 8

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

Family Medicine
4701 NORMAL BLVD
LINCOLN, NE 68506
Family Medicine
4701 NORMAL BLVD
LINCOLN, NE 68506
Family Medicine
4701 NORMAL BLVD
LINCOLN, NE 68506
Internal Medicine
4701 NORMAL BLVD
LINCOLN, NE 68506
Internal Medicine
4701 NORMAL BLVD
LINCOLN, NE 68506
Family Medicine
4701 NORMAL BLVD
LINCOLN, NE 68506
Family Medicine
4701 NORMAL BLVD
LINCOLN, NE 68506
Family Medicine
4701 NORMAL BLVD
LINCOLN, NE 68506

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 Dziacky's NPI number?

The NPI number for Tracy Dziacky is 1972257558. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Tracy Dziacky located?

Tracy Dziacky practices at 4701 Normal Blvd, Lincoln, NE 68506. The listed phone number is (402) 488-5050.

What is Tracy Dziacky's specialty?

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

Is Tracy Dziacky enrolled in Medicare?

Yes. Tracy Dziacky 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 Dziacky accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Tracy Dziacky 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 Dziacky affiliated with any hospitals?

According to CMS data, Tracy Dziacky is affiliated with Bryan Medical Center and Chi Health St. Elizabeth.

When was this NPI record last updated?

The NPPES record for Tracy Dziacky was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.