TRACI LYNNETTE ELLIS (APRN) – Family Nurse Practitioner, NPI 1801227368
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for TRACI LYNNETTE ELLIS (APRN)
3911 Avenue B
Suite 1100
Scottsbluff, NE 693614617
Phone: (308) 630-2100
Fax: (308) 630-2113
Type: Location
1313 S ST STE A
BRIDGEPORT, NE 693362563
Phone: (308) 262-1755
Fax: (308) 262-0765
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Amgen Inc. ($35).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $35 |
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: 2018-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140604000614 | I | Nurse Practitioner | KS | TBD |
| I20150130002186 | I | Nurse Practitioner | NE | TBD |
| I20181204001459 | I | Nurse Practitioner | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 69361)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Family Practice | CA | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| General Practice | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Nurse Practitioner | KS | |
| Physician Assistant | CT |
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