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

Tracey Wall, PA-C

Individual provider Physician Assistant · NPI 1306038492

Tracey Wall, PA-C is a Physician Assistant in Craig, Colorado. Qualified in 2007, 19 years ago. Practices with Rocky Mountain Clinics LLC, a 49-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
19
Licensed in
CO
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

785 Russell St
Craig, CO 81625-2019
Phone: (970) 826-2300
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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 PA-2454 (CO)

Record details

NPI number1306038492
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2007
Last updated in NPPESApril 12, 2017
Mailing address785 Russell St, Craig, CO 81625-2019

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 Rocky Mountain Clinics Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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