TRACEY W BEFAY (PA) – Physician Assistant, NPI 1053395913

TRACEY W BEFAY (PA) is a healthcare provider. based in Oconto falls, Wisconsin. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 474 (WI). The NPI Number for TRACEY W BEFAY (PA) is 1053395913

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY W BEFAY (PA)
NPI
1053395913
Phone
(920) 846-3092
Address
107 E Highland Dr
Enumeration Date
5 December 2005
Last Update Date
15 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204457226
Graduation Year
1986 (40 years ago)
PAC ID
7012043367
Group Practice PAC ID
8820900749
Professional Enrollment ID
I20100326000088
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for TRACEY W BEFAY (PA)

  • 107 E Highland Dr

    Oconto Falls, WI 541541002

    Phone: (920) 846-3092

    Fax: (920) 846-8313

    Type: Location

  • 3263 Eaton Rd

    Green Bay, WI 543116830

    Phone: (920) 433-6000

    Fax: (920) 433-6009

    Type: Location

  • 2820 Roosevelt Rd

    Marinette, WI 541433834

    Phone: (715) 735-5225

    Fax: (715) 735-5388

    Type: Location

  • 107, East Highland Drive, Oconto Falls, Oconto County, Wisconsin, 54154, United States

    OCONTO FALLS, WI 541541002

    Phone: (920) 846-3092

    Fax: (920) 846-8313

    Type: Location

  • 1976 Lime Kiln Rd

    Green Bay, WI 543114417

    Phone: (920) 445-7377

    Fax: (920) 592-9479

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543052487

    Phone: (920) 445-7210

    Type: Mailing

  • 1630 COMMANCHE AVE

    GREEN BAY, WI 543135753

    Phone: (920) 433-6000

    Fax: (920) 430-4719

    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: 2010-03-26

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
I20100326000088IPhysician AssistantWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4847$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 54154)

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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: 8820900749View full group profile
NameSpecialtyState
Family PracticeWI
-WI
Nurse PractitionerWI
Physical Therapist In Private PracticeWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What federal number belongs to TRACEY W BEFAY (PA)?
The federal identifier for TRACEY W BEFAY (PA) is NPI 1053395913.
Is TRACEY W BEFAY (PA)'s NPI currently valid?
The extract we use shows TRACEY W BEFAY (PA) as active.
What does TRACEY W BEFAY (PA) treat or focus on?
Patients typically see TRACEY W BEFAY (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is TRACEY W BEFAY (PA)'s primary listing?
We display Oconto Falls, Wisconsin because that is what the record indicates for TRACEY W BEFAY (PA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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