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TRACI SUMER KNIERIM NP
NPI 1407630940
Family Medicine in Mattoon, IL

Active since August 24, 2023PECOS EnrolledAccepts Medicare Assignment
420 BROADWAY AVE E, MATTOON, IL 61938(217) 512-1370(217) 775-0736 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2026, Jan 23, 2026, Dec 12, 2025 and 3 more (6 updates tracked since 2023).

About Traci Sumer Knierim Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI SUMER KNIERIM NP (NPI 1407630940) is an individual family medicine provider in Mattoon, Illinois, licensed in Illinois (209028007) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Champaign, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407630940
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRACI SUMER KNIERIMCredential: NP
Location Address420 BROADWAY AVE EMattoon, IL 61938-4655
Mailing Address420 Broadway Ave EMattoon, IL 61938-4655 · (217) 512-1370 · Fax (217) 775-0736
Phone(217) 512-1370
Fax(217) 775-0736
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 24, 2023
Last NPPES UpdateApril 6, 20266 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1407630940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 209028007
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209028007 (IL)
420 BROADWAY AVE E, Mattoon, IL 61938
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Secondary Practice Location 1

Location 13115 Village Office PlChampaign, IL 61822-7673 · Phone (217) 531-4101 · Fax (217) 954-9290

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Traci Sumer Knierim Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375998420
PECOS Enrollment IDI20231010004067
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Traci Knierim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group
44 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Two Roads Wellness Clinic, LLC
62 mi
Primary Care
3545 N VERMILION ST
Danville, IL 61832
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1417329426 (217) 651-6801
Hoopeston Community Memorial Hospital
76 mi
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
NPI 1578504544 (214) 283-5644

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLINOIS EXPRESS VISION CENTER-MATTOON INC.
Eyewear Supplier
420 BROADWAY AVE E
MATTOON, IL 61938
Coles County (217) 235-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Knierim's NPI number?

The NPI number for Traci Knierim is 1407630940. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Traci Knierim located?

Traci Knierim practices at 420 Broadway Ave E, Mattoon, IL 61938. The listed phone number is (217) 512-1370.

What is Traci Knierim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Traci Knierim enrolled in Medicare?

Yes. Traci Knierim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Traci Knierim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Knierim reassigns Medicare benefits to 3 organizations: Carle Health Medical Group (Urbana, IL), Two Roads Wellness Clinic, LLC (Danville, IL) and Hoopeston Community Memorial Hospital (Hoopeston, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Traci Knierim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Traci Knierim accept?

Health plans from Oscar Health list Traci Knierim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Traci Knierim was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.