TRACY J WAKEFIELD (MD) – Internal Medicine Physician, NPI 1053369827
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,575 INTERNAL MEDICINE in NV
Provider Addresses for TRACY J WAKEFIELD (MD)
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (702) 843-2420
Fax: (833) 749-0351
Type: Mailing
2875 S NELLIS BLVD STE 3
LAS VEGAS, NV 891212087
Phone: (702) 843-2420
Fax: (833) 749-0351
Type: Location
PO BOX 616788
ORLANDO, FL 328616788
Phone: (407) 447-7120
Fax: (407) 770-0661
Type: Mailing
Box Canyon Drive, Las Vegas, Clark County, Nevada, 89108-4577, United States
LAS VEGAS, NV 891938978
Phone: (702) 507-2486
Fax: (702) 671-6883
Type: Mailing
Pecos Road, Green Valley North, Green Valley, Henderson, Clark County, Nevada, 89074, United States
3800
HENDERSON, NV 890747180
Phone: (702) 565-1007
Fax: (702) 947-1966
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060810000351 | I | Internal Medicine | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NV | |
| Nurse Practitioner | NV | |
| Internal Medicine | MD | |
| Family Practice | NV | |
| Family Practice | NV | |
| Nurse Practitioner | FL | |
| Internal Medicine | NV | |
| Family Practice | NV | |
| Family Practice | NV | |
| Physician Assistant | NV |
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