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

Tracy L Thode, PA-C

Individual provider Physician Assistant · NPI 1558682088

Tracy L Thode, PA-C is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2010, 16 years ago. Practices with Vituity-Wisconsin Hm SC, a 29-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2010
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

945 N 12th St
Milwaukee, WI 53233-1305
Phone: (414) 219-2000
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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 2596-23 (WI)

Record details

NPI number1558682088
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 18, 2010
Last updated in NPPESDecember 31, 2021
Certification dateDecember 31, 2021
Mailing address945 N 12th St, Milwaukee, WI 53233-1305

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vituity-Wisconsin Hm Sc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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