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

Tricia Pryor, PA-C

Individual provider Physician Assistant · NPI 1205691144

Tricia Pryor, PA-C is a Physician Assistant in Lafayette, Indiana. Qualified in 2023, 3 years ago. Practices with Impact Physician Group Indiana LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2024
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

950 Park East Blvd
Lafayette, IN 47905-0792
Phone: (765) 447-4040
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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 10004347A (IN)

Record details

NPI number1205691144
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Impact Physician Group Indiana Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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