TRACI HARRIS (NP) – Adult Health Nurse Practitioner, NPI 1336322007

TRACI HARRIS (NP) is a healthcare provider. based in Malta, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 198169 (WI). The NPI Number for TRACI HARRIS (NP) is 1336322007

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
TRACI HARRIS (NP)
NPI
1336322007
Phone
(815) 754-1089
Address
21193 Malta Rd
Enumeration Date
17 December 2007
Last Update Date
30 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552292191
Graduation Year
2001 (25 years ago)
PAC ID
9032293501
Group Practice PAC ID
4880137850
Professional Enrollment ID
I20080221000404
Address ID
IL606044393CH332XXAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:18State licenses:3Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TRACI HARRIS (NP)

  • 21193 Malta Rd

    Malta, IL 601509600

    Phone: (815) 754-1089

    Type: Location

  • 3100 Sycamore Rd

    Suite 1024

    Dekalb, IL 601159621

    Phone: (815) 752-3253

    Type: Location

  • 405, South Madison Street, Oswego, Oswego Township, Kendall County, Illinois, 60543, United States

    OSWEGO, IL 605439056

    Phone: (630) 631-4855

    Type: Mailing

  • 1325 REMINGTON RD STE A

    SCHAUMBURG, IL 601734815

    Phone: (773) 572-8399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080221000404INurse PractitionerILTBD
I20250318001387INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11679$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 60150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880137850View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Pulmonary DiseaseIL
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is TRACI HARRIS (NP) identified in CMS data?
CMS-hosted NPPES data lists TRACI HARRIS (NP) with NPI 1336322007.
Is TRACI HARRIS (NP) listed as active for patients and plans?
The listing shows TRACI HARRIS (NP) as active in the NPI system.
What is TRACI HARRIS (NP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for TRACI HARRIS (NP) here. Clinical services aligned with this taxonomy classification.
What area does TRACI HARRIS (NP) serve?
TRACI HARRIS (NP)'s listing highlights Malta, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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