| 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 | 11 |
| Vwb Llc | 7113349895 | 9 |
| Entity Name | 4G Enterprises LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033544267 PECOS PAC ID: 4789810508 Enrollment ID: O20131126000431 |
| Entity Name | Harlan Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487089611 PECOS PAC ID: 8628206034 Enrollment ID: O20140110000297 |
| Entity Name | Make Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295181022 PECOS PAC ID: 9335429489 Enrollment ID: O20161206001840 |
| Entity Name | Vwb LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154943835 PECOS PAC ID: 7113349895 Enrollment ID: O20200625002066 |
| Entity Name | Hydr8 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922735406 PECOS PAC ID: 1456726884 Enrollment ID: O20230417001059 |
| Entity Name | Urgent Care Bennington, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033940879 PECOS PAC ID: 0446751994 Enrollment ID: O20250827004009 |
| 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 |