Traci Goll, ARNP
Individual provider Active NPI Family Nurse Practitioner · Clear Lake, IA
NPI 1164054755 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1164054755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A157789 (IA)
- Practice address
- 1410 6TH Ave S
Clear Lake, IA 50428-2606 - Phone
- (641) 357-2191
- Fax
- (641) 357-6020
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Iowa Mercy Clinics
Practice addresses (Care Compare)
1000 4TH St SW
Mason City, IA 50401-2800
1410 6TH Ave S
Mercyone Clear Lake Family Medicine
Clear Lake, IA 50428-2606
Phone (641) 357-2191
621 S Illinois Ave
100 Mercyone Regency Family Medicine
Mason City, IA 50401-5489
Phone (641) 428-6900
Hospital & facility affiliations
- Mercyone North Iowa Medical Center
- Hancock County Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.55 of 100
- Quality
- 73.89
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 70.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200324001301 | IA | Practitioner - Nurse Practitioner | 7214365386 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Iowa Mercy Clinics | Current |
Accepting new patients | |
| North Iowa Mercy Clinics | Current |
Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Past | Accepting new patients | |
| North Iowa Mercy Clinics | Past | Accepting new patients |
Locations
1410 6th Ave S
Clear Lake, IA 50428
Phone (641) 357-2191
621 S Illinois Ave
Ste 103
Mason City, IA 50401
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
1631 4th St SW
Ste 114
Mason City, IA 50401
Phone (641) 428-2500
Interoperability endpoints
- tgoll3945883@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A157789 | IA | Yes |
Addresses
Primary practice location
1410 6TH Ave S
Clear Lake, IA 50428-2606
Mailing address
621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Phone (641) 428-3041
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgoll3945883@direct.trinity-health.org | Direct |
Other providers in Clear Lake, IA
- Denise Engelby
- Christopher Fischer
- Monica Forbes
- Alexis Friend
- Henry L Goetz Jr.
- Hailey Sue Elizabeth Grell
- Michelle Gremmer
- Robert O. Gross
- Makenzie Jo Gudmonson
- Shania M Hagen
All providers in Clear Lake, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.