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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Abigail Jean Tracy, PA-C

Physician Assistant in White Bear Lake, MN · enumerated 2021 · practices at Advanced Dermatology Care Medical Cosmetic and Surgery PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336724590

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Registry record

Entity type Individual (Type 1)
Name Abigail Jean Tracy
Credential PA-C
Sex Female
Practice address White Bear Lake, MN, 55127
Phone (651) 484-2724
Fax (651) 484-2723
Enumeration date Mar 9, 2021
Last updated in NPPES Jan 19, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 14165 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Abigail Tracy?
Abigail Tracy is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-19.