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

Mrs. Tracey K Reily, PA-C

Individual provider Medical Physician Assistant · NPI 1760481188

Mrs. Tracey K Reily, PA-C is a Physician Assistant in Greenwell Springs, Louisiana. Qualified in 2001, 25 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
25
Licensed in
LA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

18901 Greenwell Springs Rd
Greenwell Springs, LA 70739-4827
Phone: (225) 924-9985
Fax: (225) 924-0884
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence A10554 (LA)

Record details

NPI number1760481188
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare