TRACEY B. SHIRK (MD) – Emergency Medicine Physician, NPI 1124084629

TRACEY B. SHIRK (MD) is a healthcare provider. based in Seattle, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD00034802 (WA). The NPI Number for TRACEY B. SHIRK (MD) is 1124084629

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY B. SHIRK (MD)
NPI
1124084629
Phone
Not provided
Address
303 E PIKE ST
Enumeration Date
24 April 2006
Last Update Date
29 April 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
5098261760
Graduation Year
1988 (38 years ago)
PAC ID
3779618285
Group Practice PAC ID
6800707951
Professional Enrollment ID
I20100331001271
Address ID
WA988419578OM810XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

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Provider Addresses for TRACEY B. SHIRK (MD)

  • Pike Lofts, 303, East Pike Street, First Hill, Seattle, King County, Washington, 98122, United States

    # 501

    SEATTLE, WA 981223699

    Phone:

    Type: Mailing

  • Swedish First Hill Medical Center, 747, Broadway, First Hill, Seattle, King County, Washington, 98122, United States

    SEATTLE, WA 981224379

    Phone: (206) 386-6000

    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: 2010-03-31

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
I20100331001271IEmergency MedicineWATBD

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 98122)

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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: 6800707951View full group profile
NameSpecialtyState
Family PracticeWA
-WA
General SurgeryUT
General SurgeryWA
-NC
-WA
Emergency MedicineVA
Diagnostic Radiology, Interventional RadiologyWA
Nurse PractitionerWA
Physician AssistantWA

Reviews

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Frequently asked questions

Can I use this page to confirm TRACEY B. SHIRK (MD)'s NPI?
Yes. TRACEY B. SHIRK (MD) is listed with NPI 1124084629 in the public NPI dataset.
Does CMS list TRACEY B. SHIRK (MD) as active?
Yes — TRACEY B. SHIRK (MD) is active in the NPI listing used on this page.
What taxonomy line describes TRACEY B. SHIRK (MD)?
For research purposes, treat TRACEY B. SHIRK (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does TRACEY B. SHIRK (MD) list a practice location?
Patients near Seattle, Washington may find TRACEY B. SHIRK (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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