Traci Sumer Knierim, NP - Medicare Nurse Practitioner in Mattoon, IL

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Traci Sumer Knierim, NP is a medicare enrolled "Family Medicine" physician in Mattoon, Illinois. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Two Roads Wellness Clinic, Llc and her current practice location is 420 Broadway Ave E, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 512-1370.

Traci Sumer Knierim is licensed to practice in Illinois (license number 209028007) 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 1407630940.

Contact Information

Traci Sumer Knierim, NP
420 Broadway Ave E,
Mattoon, IL 61938-4655
(217) 512-1370
(217) 775-0736

Map and Direction




Physician's Profile

Full NameTraci Sumer Knierim
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location420 Broadway Ave E, Mattoon, Illinois
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 Sumer Knierim graduated from medical school in 2023
  NPI Data:
  • NPI Number: 1407630940
  • Provider Enumeration Date: 08/24/2023
  • Last Update Date: 04/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3375998420
  • Enrollment ID: I20231010004067

Medical Identifiers

Medical identifiers for Traci Sumer Knierim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407630940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 209028007 (Illinois)Primary
363LF0000XNurse Practitioner - Family 209028007 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Two Roads Wellness Clinic, Llc96385362209

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 Sumer Knierim allows following entities to bill medicare on her behalf.
Entity NameHoopeston Community Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043683014
PECOS PAC ID: 3577456037
Enrollment ID: O20040210000011
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameTwo Roads Wellness Clinic, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417329426
PECOS PAC ID: 9638536220
Enrollment ID: O20230613003222

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 Sumer Knierim 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 Sumer Knierim, NP
420 Broadway Ave E,
Mattoon, IL 61938-4655

Ph: (217) 512-1370		Traci Sumer Knierim, NP
420 Broadway Ave E,
Mattoon, IL 61938-4655

Ph: (217) 512-1370

Reviews and Comments


Family Medicine Doctors in Mattoon, IL

Dr. Dominic Perrino, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-238-4325    Fax: 217-348-4290
Andrew Robert Gage, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938
Phone: 217-234-5110    
Jeanelle Y Murphy, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Richmond Ave E Ste 2, Mattoon, IL 61938
Phone: 217-234-7000    Fax: 217-238-2584
Jagan Mohan Reddy Bokka I, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-238-4325    Fax: 217-348-4290
Robert Wochner, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1005 Health Center Drive, Suite 103, Mattoon, IL 61938
Phone: 217-258-4051    Fax: 217-258-4063
Kristine Ross Carpenter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2512 Hurst Dr., Mattoon, IL 61938
Phone: 217-258-5900    Fax: 217-258-3686
Margaret Louisa Tate, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2512 Hurst Dr Ste 120, Mattoon, IL 61938
Phone: 217-258-5900    Fax: 217-258-3686

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.