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

Individual provider Physician Assistant · NPI 1679832489

Mrs. Traci Wilke, PA is a Physician Assistant in Fort Collins, Colorado. Qualified in 2002, 24 years ago. Practices with Dermatology Center of the Rockies, a 4-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
24
Licensed in
CA, CO
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3726 S Timberline Rd
Fort Collins, CO 80525-4331
Phone: (970) 221-5795
Fax: (970) 221-1371
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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 0003504 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA16810 (CA)

Record details

NPI number1679832489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2012
Last updated in NPPESSeptember 17, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dermatology Center Of The Rockies — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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