TRACEY M EHLIN APRN
NPI 1669045472
Nurse Practitioner - Primary Care in Omaha, NE
About Tracey M Ehlin Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY M EHLIN APRN (NPI 1669045472) is an individual primary care provider in Omaha, Nebraska, licensed in Nebraska (113694) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracey M Ehlin Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracey Ehlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fremont, NE 68025
- Reassigned Medicare billing, Nebraska enrollment
- 178 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tracey Ehlin's NPI number?
The NPI number for Tracey Ehlin is 1669045472. It was assigned to this individual provider in the NPPES registry on July 20, 2021.
Where is Tracey Ehlin located?
Tracey Ehlin practices at 4101 Woolworth Ave, Omaha, NE 68105. The listed phone number is (402) 346-8800.
What is Tracey Ehlin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Tracey Ehlin enrolled in Medicare?
Yes. Tracey Ehlin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracey Ehlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Ehlin reassigns Medicare benefits to Methodist Fremont Health (Fremont, NE). The 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 Tracey Ehlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tracey Ehlin was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Tracey M Ehlin, APRN · NPI 1669045472
Primary Care physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since July 20, 2021.
## Identity
- **NPI:** 1669045472 (Entity type: Individual)
- **Enumerated:** July 20, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 113694 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 4101 WOOLWORTH AVE, Omaha, NE 68105-1850
- **Phone:** (402) 346-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Methodist Fremont Health (NPI 1235618216, Fremont, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669045472) · Data from the CMS NPPES public registry.