Traci M Penner, APRN - Medicare Nurse Practitioner in Grand Island, NE

Traci M Penner, APRN is a medicare enrolled "Nurse Practitioner - Family" in Grand Island, Nebraska. She went to Creighton University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Community Health Inc, Cambridge Memorial Hospital Inc and her current practice location is 3610 Richmond Cir Ste 100, Grand Island, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 398-6400.

Traci M Penner is licensed to practice in Nebraska (license number 112074) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891248720.

Contact Information

Traci M Penner, APRN
3610 Richmond Cir Ste 100,
Grand Island, NE 68803-3910
(308) 398-6400
(308) 398-6408

Map and Direction




Provider's Profile

Full NameTraci M Penner
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location3610 Richmond Cir Ste 100, Grand Island, Nebraska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Traci M Penner attended and graduated from Creighton University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1891248720
  • Provider Enumeration Date: 07/27/2016
  • Last Update Date: 04/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779879101
  • Enrollment ID: I20160909002070

Medical Identifiers

Medical identifiers for Traci M Penner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891248720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner A144741 (Iowa)Secondary
363LF0000XNurse Practitioner - Family 112074 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalAurora, NEHospital
Tri Valley Health SystemCambridge, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Community Health Inc135539404010
Cambridge Memorial Hospital Inc246634607714

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Traci M Penner allows following entities to bill medicare on her behalf.
Entity NameThe Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437184652
PECOS PAC ID: 3476453267
Enrollment ID: O20040128001100
Entity NameAlegent Creighton Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548287907
PECOS PAC ID: 1951210418
Enrollment ID: O20040407001314
Entity NameGrand Island Radiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932136405
PECOS PAC ID: 7719978261
Enrollment ID: O20040521001250
Entity NameCambridge Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740462654
PECOS PAC ID: 2466346077
Enrollment ID: O20040607000875
Entity NameTwin Rivers Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639248560
PECOS PAC ID: 6406860543
Enrollment ID: O20060127000662
Entity NameMemorial Community Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881603850
PECOS PAC ID: 1355394040
Enrollment ID: O20100213000119
Entity NameMidwest Emergency Grand Island Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508357930
PECOS PAC ID: 1153677828
Enrollment ID: O20180711000546

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Traci M Penner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Traci M Penner, APRN
Po Box 1725,
Grand Island, NE 68802-1725

Ph: (308) 398-6400
Traci M Penner, APRN
3610 Richmond Cir Ste 100,
Grand Island, NE 68803-3910

Ph: (308) 398-6400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.