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

Mrs. Tracy Nickol Connor, PA-C

Individual provider Physician Assistant · NPI 1104022896

Mrs. Tracy Nickol Connor, PA-C is a Physician Assistant in Mesa, Arizona. Graduated from Univ of Nebraska Medical Center, Col of Dentistry in 2012, 14 years ago. Practices with Family Care Center LLC, a 693-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
14
Trained at
Univ of Nebraska Medical Center, Col of Dentistry
Licensed in
AZ
In the registry since
2007
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

1910 S Stapley Dr Ste 209
Mesa, AZ 85204-6679
Phone: (480) 351-8020
Fax: (704) 355-7626
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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 10332 (AZ)

Record details

NPI number1104022896
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2007
Last updated in NPPESFebruary 3, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
Graduated 2012 (14 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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