Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Tracie Marie Jefferson, PA-C

Individual provider Physician Assistant · NPI 1346642832

Miss. Tracie Marie Jefferson, PA-C is a Physician Assistant in Puyallup, Washington. Qualified in 2015, 11 years ago. Practices with South Hill Family Medicine PC, a 66-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2014
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

11216 Sunrise Blvd E Ste 3-106
Puyallup, WA 98374-8848
Phone: (253) 848-5951
Fax: (253) 845-7073
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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 PA60596875 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1346642832
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESAugust 24, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice South Hill Family Medicine Pc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Puyallup