Mrs Traci Eileen Evans-ellacott, CNP - Medicare Nurse Practitioner in Elyria, OH

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Mrs Traci Eileen Evans-ellacott, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Elyria, Ohio. She graduated from nursing school in 2000 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Metrohealth System and her current practice location is 125 E Broad St, Suite 305, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 414-9100.

Mrs Traci Eileen Evans-ellacott is licensed to practice in Ohio (license number NP-06543) 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 1588634976.

Contact Information

Mrs Traci Eileen Evans-ellacott, CNP
125 E Broad St, Suite 305,
Elyria, OH 44035-6400
(440) 414-9100
(440) 322-3454

Map and Direction




Provider's Profile

Full NameMrs Traci Eileen Evans-ellacott
GenderFemale
SpecialityNurse Practitioner
Experience26 Years
Location125 E Broad St, Elyria, Ohio
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:
  • Mrs Traci Eileen Evans-ellacott graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1588634976
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 03/03/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5597787663
  • Enrollment ID: I20060103000851

Medical Identifiers

Medical identifiers for Mrs Traci Eileen Evans-ellacott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588634976NPI-NPPES
500022799OtherRAILROAD MEDICARE
000000342754OtherOHANTHEM
2284004MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health NP-06543 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Metrohealth SystemCleveland, OHHospital
University Hospitals - Elyria Medical CenterElyria, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Metrohealth System86289829491065

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. Mrs Traci Eileen Evans-ellacott allows following entities to bill medicare on her behalf.
Entity NameThe Metrohealth System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355
Entity NameUniversity Primary Care Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767

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. Mrs Traci Eileen Evans-ellacott 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
Mrs Traci Eileen Evans-ellacott, CNP
29325 Health Campus Dr, Suite 3,
Westlake, OH 44145-8201

Ph: (440) 414-9412		Mrs Traci Eileen Evans-ellacott, CNP
125 E Broad St, Suite 305,
Elyria, OH 44035-6400

Ph: (440) 414-9100

Reviews and Comments


Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-323-8515    
Nicole Fatemeh Scavuzzo, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035
Phone: 440-406-8153    Fax: 440-406-8312
Mary Lauretta Gilchrist,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Ms. Amy M. King, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Amy M Kovalsky, RN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 E River St, Elyria, OH 44035
Phone: 440-329-7500    
Mrs. Brenda J Life, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035
Phone: 440-326-4120    Fax: 440-322-3454
Jennifer Gelske, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 41201 Schadden Rd, Elyria, OH 44035
Phone: 440-324-0400    Fax: 440-324-0441

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.