ELLEN MARIE TRACY DNP, FNP
NPI 1760005367
Nurse Practitioner in Saint Louis, MO
About Ellen Marie Tracy Dnp, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN MARIE TRACY DNP, FNP (NPI 1760005367) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2024013672) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
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
Ellen Marie Tracy Dnp, Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Ellen Tracy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 611 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ellen Tracy's NPI number?
The NPI number for Ellen Tracy is 1760005367. It was assigned to this individual provider in the NPPES registry on May 19, 2020.
Where is Ellen Tracy located?
Ellen Tracy practices at 1110 Highlands Plaza Drive East Suite220, Saint Louis, MO 63110. The listed phone number is (314) 448-3791.
What is Ellen Tracy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ellen Tracy enrolled in Medicare?
Yes. Ellen Tracy 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 organization bills Medicare for Ellen Tracy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Tracy reassigns Medicare benefits to Physician Groups Lc (Saint Louis, MO). 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 Ellen Tracy'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 Ellen Tracy was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ellen Marie Tracy, DNP, FNP · NPI 1760005367
Nurse Practitioner physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 19, 2020.
## Identity
- **NPI:** 1760005367 (Entity type: Individual)
- **Enumerated:** May 19, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2024013672 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1110 HIGHLANDS PLAZA DRIVE EAST SUITE220, Saint Louis, MO 63110-3927
- **Phone:** (314) 448-3791
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physician Groups Lc (NPI 1285664268, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760005367) · Data from the CMS NPPES public registry.