Traci Sumer Knierim, NP is a medicare enrolled "Family Medicine" in Champaign, Illinois. She graduated from nursing school in 2023 and has 2 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
3115 Village Office Pl, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 531-4101.
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.
Provider's Profile
| Full Name | Traci Sumer Knierim |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 3115 Village Office Pl, Champaign, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Traci Sumer Knierim graduated from nursing school in 2023
NPI Data:
- NPI Number: 1407630940
- Provider Enumeration Date: 08/24/2023
- Last Update Date: 03/03/2025
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.
| Identifier | Type | State | Issuer |
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| 1407630940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209028007 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 209028007 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Two Roads Wellness Clinic, Llc | 9638536220 | 5 |
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 Name | Hoopeston Community Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043683014
PECOS PAC ID: 3577456037
Enrollment ID: O20040210000011 |
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| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829 |
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| Entity Name | Two Roads Wellness Clinic, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417329426
PECOS PAC ID: 9638536220
Enrollment ID: O20230613003222 |
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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 Address | Practice Location Address |
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Traci Sumer Knierim, NP
3115 Village Office Pl,
Champaign, IL 61822-7673
Ph: (217) 531-4101 | Traci Sumer Knierim, NP
3115 Village Office Pl,
Champaign, IL 61822-7673
Ph: (217) 531-4101 |
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