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

Tracy Le Dziacky, PA

Individual provider Physician Assistant · NPI 1972257558

Tracy Le Dziacky, PA is a Physician Assistant in Lincoln, Nebraska. Qualified in 2021, 5 years ago. Practices with Capital Medical Clinic LLP, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4701 Normal Blvd
Lincoln, NE 68506-5563
Phone: (402) 488-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3665 Madaca Ln, Tampa, FL 33618-2048 — (813) 280-7380

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115362 (FL)

Record details

NPI number1972257558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 11, 2022
Last updated in NPPESSeptember 11, 2025
Certification dateNovember 15, 2024
Mailing address4701 Normal Blvd, Lincoln, NE 68506-5563

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Capital Medical Clinic Llp — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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