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

Individual provider Physician Assistant · NPI 1790011757

Mrs. Tracie Tue Dominguez, PA-C is a Physician Assistant in Fort Carson, Colorado. Qualified in 2009, 17 years ago. Practices with Post Acute Rehabilitation Physicians LLC, a 40-clinician group and accepts Medicare assignment.

Years since qualifying
17
In the registry since
2009
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

1650 Cochrane Cir
Fort Carson, CO 80913-4603
Phone: (719) 244-2286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1790011757
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2009
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Post Acute Rehabilitation Physicians Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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