TRACY L KNAAK (PA-C) – Physician Assistant, NPI 1669418174

TRACY L KNAAK (PA-C) is a healthcare provider. based in Portsmouth, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110001540 (VA). The NPI Number for TRACY L KNAAK (PA-C) is 1669418174

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
TRACY L KNAAK (PA-C)
NPI
1669418174
Phone
(757) 397-2383
Address
3640 High St
Enumeration Date
22 June 2006
Last Update Date
5 January 2021

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
3274637780
Group Practice PAC ID
5698675510
Professional Enrollment ID
I20070322000227
Address ID
VA235071914NO825XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for TRACY L KNAAK (PA-C)

  • 3640 High St

    Suite2F

    Portsmouth, VA 237073213

    Phone: (757) 397-2383

    Fax: (757) 397-2383

    Type: Location

  • 5818 HARBOUR VIEW BLVD STE 240

    SUFFOLK, VA 234353315

    Phone: (757) 397-2383

    Fax: (757) 673-0236

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $708.

Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Tactile Systems Technology Inc ($239).

Total Amount

$708

General + Research + Ownership

Payments

7

Total payment records

General Amount

$708

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-03-22

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
I20070322000227IPhysician AssistantVATBD

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 23707)

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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: 5698675510View full group profile
NameSpecialtyState
Family PracticeVA
-TX
Internal MedicineVA
General Surgery, Critical Care (Intensivists)VA
Family PracticeVA
-VA
-WA
Internal MedicineVA
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YNY

Reviews

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Frequently asked questions

What number should I use to identify TRACY L KNAAK (PA-C) for billing?
Administrative and clinical systems typically use NPI 1669418174 for TRACY L KNAAK (PA-C).
Does the public listing show TRACY L KNAAK (PA-C) as active?
TRACY L KNAAK (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret TRACY L KNAAK (PA-C)'s specialty?
The extract shows Physician Assistant for TRACY L KNAAK (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to TRACY L KNAAK (PA-C)?
TRACY L KNAAK (PA-C) is associated with Portsmouth, Virginia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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