| Traci Lynnette Ellis, APRN | |
|
1313 S St Ste A, Bridgeport, NE 69336-2563 | |
| (308) 262-1755 | |
| (308) 262-0765 |
| Full Name | Traci Lynnette Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1313 S St Ste A, Bridgeport, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801227368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 111534 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harlan Medical Llc | 8628206034 | 10 |
| Vwb Llc | 7113349895 | 12 |
| Entity Name | Midlands Family Urgent Care Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356896070 PECOS PAC ID: 3375998800 Enrollment ID: O20231018001472 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Lynnette Ellis, APRN 1313 S St Ste A, Bridgeport, NE 69336-2563 Ph: (308) 262-1755 | Traci Lynnette Ellis, APRN 1313 S St Ste A, Bridgeport, NE 69336-2563 Ph: (308) 262-1755 |
Cherry L Cooper, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 S St, Bridgeport, NE 69336 Phone: 308-262-1616 Fax: 308-262-0843 | |
Ms. Cheryl A. Laux, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 S St, Bridgeport, NE 69336 Phone: 308-262-1755 Fax: 308-262-0765 | |
Mrs. Deanna L Schrotberger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 S St, Bridgeport, NE 69336 Phone: 308-262-1616 | |
Kimberly R Perkins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 S St, Bridgeport, NE 69336 Phone: 308-262-1616 | |
Melody J Leisy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1313 S St, Bridgeport, NE 69336 Phone: 308-262-1616 |