TRACEY JEAN RICHNAVSKY – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1194311381

TRACEY JEAN RICHNAVSKY is a healthcare provider. based in Mayfield heights, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 60.007347RX (OH). The NPI Number for TRACEY JEAN RICHNAVSKY is 1194311381

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY JEAN RICHNAVSKY
NPI
1194311381
Phone
Not provided
Address
6780 MAYFIELD RD
Enumeration Date
12 December 2020
Last Update Date
16 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
2466867650
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20220502002421
Address ID
OH441950001CL9500XAVEX300

Contacts

Secure Messaging
upmchospitals@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for TRACEY JEAN RICHNAVSKY

  • 6780 MAYFIELD RD

    MAYFIELD HEIGHTS, OH 441242203

    Phone:

    Type: Mailing

  • 1303 BURCHFIELD RD

    PUH SUITE C700

    ALLISON PARK, PA 151014057

    Phone:

    Type: Mailing

  • 9100 BABCOCK BLVD

    PUH SUITE C700

    PITTSBURGH, PA 152375815

    Phone: (412) 367-6700

    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: 2022-05-02

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
I20220502002421IPhysician AssistantOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44124)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for TRACEY JEAN RICHNAVSKY?
TRACEY JEAN RICHNAVSKY — NPI 1194311381 — is the standard way to identify this listing.
Does the file indicate TRACEY JEAN RICHNAVSKY is practicing under active NPI?
Directory data currently reports TRACEY JEAN RICHNAVSKY as active.
What healthcare role does TRACEY JEAN RICHNAVSKY hold?
Scheduling teams often label TRACEY JEAN RICHNAVSKY under Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is TRACEY JEAN RICHNAVSKY based?
TRACEY JEAN RICHNAVSKY is tied to Mayfield Heights, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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