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

Individual provider Medical Physician Assistant · NPI 1215121835

Tracey Jackson, PA-C is a Physician Assistant in Pittsburgh, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Allegheny Clinic, a 2,300-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
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

320 E North Ave Fl 1
Pittsburgh, PA 15212-4756
Phone: (412) 359-8820
Fax: (412) 330-5411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA053116 (PA)

Record details

NPI number1215121835
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Allegheny Clinic — 2300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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