TRACEY L BRYANT (PA C) – Physician Assistant, NPI 1962473256

TRACEY L BRYANT (PA C) is a healthcare provider. based in Kennewick, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. PA10003465 (WA). The NPI Number for TRACEY L BRYANT (PA C) is 1962473256

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY L BRYANT (PA C)
NPI
1962473256
Phone
(509) 586-5644
Address
216 W 10TH AVE
Enumeration Date
27 January 2006
Last Update Date
13 May 2015

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5092216930
Graduation Year
1996 (30 years ago)
PAC ID
3173603842
Group Practice PAC ID
5799035416
Professional Enrollment ID
I20080108000078
Address ID
WA993367715KE7211XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for TRACEY L BRYANT (PA C)

  • 216, West 10th Avenue, Tri-Cities, Benton County, Washington, 99336, United States

    SUITE 300

    KENNEWICK, WA 993366300

    Phone: (509) 586-5644

    Fax: (509) 586-5645

    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)

CMS reports 131 Open Payments records for all available years, with a total value of $2,551.

Total Amount is formed as General ($2,551) + Research ($0) + Ownership ($0) = $2,551.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($468).

Total Amount

$2,551

General + Research + Ownership

Payments

131

Total payment records

General Amount

$2,551

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-01-08

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
I20080108000078IPhysician AssistantWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2618$0
99213Established patient office or other outpatient visit, 20-29 minutes1914$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 99336)

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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: 5799035416View full group profile
NameSpecialtyState
General SurgeryWA
P O D I A T R YAZ
O B S T E T R I C S/ G Y N E C O L O G YWA
Family PracticeWA
Nurse PractitionerWA
Hospitalist, Internal MedicineWA
Nurse PractitionerWA
-WA
Nurse PractitionerWA
-WA

Reviews

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Frequently asked questions

Is there an official ID for TRACEY L BRYANT (PA C) in U.S. healthcare records?
The official identifier for TRACEY L BRYANT (PA C) is NPI 1962473256.
Is there an active status for TRACEY L BRYANT (PA C)?
For scheduling context, TRACEY L BRYANT (PA C) is shown as active in the registry.
What clinical focus is listed for TRACEY L BRYANT (PA C)?
At a glance, TRACEY L BRYANT (PA C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is TRACEY L BRYANT (PA C) located near Kennewick?
TRACEY L BRYANT (PA C) currently maps to Kennewick, Washington in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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