TRACEY AMANDA BLEAU (PA-C) – Medical Physician Assistant, NPI 1215023775

TRACEY AMANDA BLEAU (PA-C) is a healthcare provider. based in Orange park, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 910322 (FL). The NPI Number for TRACEY AMANDA BLEAU (PA-C) is 1215023775

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY AMANDA BLEAU (PA-C)
NPI
1215023775
Phone
(904) 298-2113
Address
2021 KINGSLEY AVE
Enumeration Date
4 October 2006
Last Update Date
20 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2526338108
Graduation Year
2004 (22 years ago)
PAC ID
3678501004
Group Practice PAC ID
2365813722
Professional Enrollment ID
I20160125002758
Address ID
NC285603449NE2000XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for TRACEY AMANDA BLEAU (PA-C)

  • 2021, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    SUITE 101

    ORANGE PARK, FL 320735174

    Phone: (904) 298-2113

    Fax: (904) 298-2113

    Mailing address matches the actual address.

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: 2016-01-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160125002758IPhysician AssistantNCTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes769349$0
99239Hospital discharge day management, more than 30 minutes221216$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6766$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5944$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5832$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365813722View full group profile
NameSpecialtyState
Internal MedicineOH
Nurse PractitionerNC
Internal MedicinePA
Internal MedicineOH
Internal Medicine, HospitalistNC
Internal MedicineGA
Nurse PractitionerAL
Physician AssistantHI
Physician AssistantMD
Family PracticeFL

Reviews

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Frequently asked questions

Does TRACEY AMANDA BLEAU (PA-C) have a public NPI I can cite?
Public records show TRACEY AMANDA BLEAU (PA-C) under NPI 1215023775.
Should I treat TRACEY AMANDA BLEAU (PA-C) as an active provider?
Patients and plans typically see TRACEY AMANDA BLEAU (PA-C) as active in the national extract.
What type of care does TRACEY AMANDA BLEAU (PA-C) provide?
TRACEY AMANDA BLEAU (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit TRACEY AMANDA BLEAU (PA-C) in Orange Park, Florida?
For routing, start with Orange Park, Florida for TRACEY AMANDA BLEAU (PA-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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