Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abigail Jean Tracy, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336724590

Abigail Jean Tracy, PA-C is a Physician Assistant in White Bear Lake, Minnesota. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2022, 4 years ago. Practices with United Skin Specialists Ltd, a 15-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4480 Centerville Rd
White Bear Lake, MN 55127
Phone: (651) 484-2724
Fax: (651) 484-2723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14165 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336724590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 9, 2021
Last updated in NPPESJanuary 19, 2024
Certification dateMarch 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2022 (4 years in practice)
Group practice United Skin Specialists Ltd — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in White Bear Lake