TRACY WICKERSHAM-FREY (PA-C) – Medical Physician Assistant, NPI 1447653456
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
324 PHYSICIAN ASSISTANT in WY
Provider Addresses for TRACY WICKERSHAM-FREY (PA-C)
1121 Washington Blvd
Newcastle, WY 827012968
Phone: (307) 746-3582
Type: Location
1401 W 5th St
Sheridan, WY 828012705
Phone: (307) 672-1100
Fax: (307) 672-1145
Type: Location
1121 WASHINGTON BLVD
NEWCASTLE, WY 827012968
Phone: (307) 746-3582
Type: Mailing
501 S BURMA AVE
GILLETTE, WY 827163426
Phone: (307) 688-1000
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: 2015-05-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150505000395 | I | Physician Assistant | WY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 219 | 211 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 101 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 19 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 18 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 82701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WY | 85610 | Blood test, clotting time | 26 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | IL | |
| - | WY | |
| Internal Medicine | IL | |
| Emergency Medicine | ND | |
| - | WY | |
| - | WY | |
| Clinical Social Worker | WY | |
| Orthopedic Surgery | WY | |
| Nurse Practitioner | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY |
Reviews
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