MRS. TRACI EILEEN EVANS-ELLACOTT (CNP) – Adult Health Nurse Practitioner, NPI 1588634976
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Loading map...
Provider Addresses for MRS. TRACI EILEEN EVANS-ELLACOTT (CNP)
29325, Health Campus Drive, Westlake, Cuyahoga County, Ohio, 44145, United States
SUITE 3
WESTLAKE, OH 441458201
Phone: (440) 414-9412
Fax: (440) 414-9059
Type: Mailing
East Broad Street, Washington Avenue Historic District, Elyria, Lorain County, Ohio, 44035, United States
SUITE 305
ELYRIA, OH 440356400
Phone: (440) 414-9100
Fax: (440) 322-3454
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2023-08-18 • Largest payer in this snapshot: HeartFlow, Inc. ($140).
Total Amount
$172
General + Research + Ownership
Payments
3
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HeartFlow, Inc. | $140 |
| Novo Nordisk Inc | $17 |
| Novartis Pharmaceuticals Corporation | $15 |
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: 2006-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060103000851 | I | Nurse Practitioner | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 444 | 404 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 115 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 70 | 65 | $0 |
Insurance plans in this area (ZIP 44145)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| Plastic And Reconstructive Surgery, Maxillofacial Surgery | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Emergency Medicine | IN | |
| Nurse Practitioner | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OH | |
| - | OH | |
| - | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.