IndividualActive
Tracy Detwiler, PAC
NPI 1154490738 · Physician Assistant · Bellefontaine, OH
Provider details
- NPI number
- 1154490738
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 50-002477 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
212 E Columbus Ave Ste 1
Bellefontaine, OH 43311-2033
Phone: (937) 599-1411
Fax: (937) 599-4128
Street-level locationGet directions
Mailing address
212 E Columbus Ave
Bellefontaine, OH 43311-2033
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.