Tracey Marie Dixon
Tracey Marie Dixon is a Nurse Practitioner in Hazle Township, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Northeast Gastroenterology Center, Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 7
- Licensed in
- PA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
10 Park PlHazle Township, PA 18202-2885
Phone: (570) 454-1400
Fax: (570) 454-2144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence SP020197 (PA) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence SP020197 (PA) |
Record details
| NPI number | 1538726179 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2019 |
| Last updated in NPPES | August 11, 2025 |
| Certification date | August 11, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Northeast Gastroenterology Center, Inc. — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |