Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caitlynn Nicole Tracy

Individual provider Physician Assistant · NPI 1396461646

Caitlynn Nicole Tracy is a Physician Assistant in New City, New York. Qualified in 2022, 4 years ago. Works from 6 locations. Licensed in New York and South Carolina.

Years since qualifying
4
Licensed in
NY, SC
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 E Eckerson Rd
New City, NY 10956-7153
Phone: (845) 352-0500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 3650 Express Dr, Shallotte, NC 28470-6501 — (910) 754-2229
  • 3016 Longtown Commons Dr Ste 300, Columbia, SC 29229-7864 — (803) 744-4900
  • 105 Brevard Pkwy, Lexington, SC 29073-7265 — (803) 951-1880
  • 2828 Bayboro St, Loris, SC 29569-2710 — (843) 716-2229
  • 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 — (803) 744-4900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032971 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA4638 (SC)

Record details

NPI number1396461646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New City