Individual provider Active NPI

Traci L Hoatson, APRN

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1174618458
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110464 Issued in NE
Practice address
1214 W a St
North Platte, NE 69101-4695
Phone
(308) 221-6228
Fax
(308) 221-6869
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110464 NE Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 110464 NE

Addresses

Primary practice location

1214 W a St
North Platte, NE 69101-4695

Mailing address

1214 W a St
North Platte, NE 69101-4695
Phone (308) 221-6228

Other practice location 1

408 N Dewey St
North Platte, NE 69101-3907
Phone (308) 221-6228

Other identifiers 8

IdentifierTypeStateIssuer
47070592300MedicaidNE
47070592305MedicaidNE
47070592302MedicaidNE
P01106366OtherNERAILROAD MEDICARE
47070592306MedicaidNE
47070592313MedicaidNE
47066229001MedicaidNE
47070592301MedicaidNE

Other names 1

  • Traci Clemens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081105000532 NE Practitioner - Nurse Practitioner 6608935689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wise Choice Health Care LLCGroup PAC ID 5597087023, 2 clinicians

Practice addresses (Care Compare)

1214 W a St
North Platte, NE 69101-4695
Phone (308) 221-6228

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Adept Nursing & Rehab of North Platte Nursing home, North Platte, NE, CCN 285094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110464NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Choice Health Care L.L.C. Family CurrentSince Oct 14, 2014 Accepting new patients
Sandhills District Health Department & Clinic CurrentSince Jun 25, 2012 Accepting new patients
Sandhills Wellness and Education Center Past Accepting new patients
Nebraska Heart Institute PC Past Accepting new patients

Locations

1214 W A St
North Platte, NE 69101
Phone (308) 221-6228

408 N Dewey St
North Platte, NE 69101
Phone (308) 221-6228

55 River Rd
Ste 24
Ogallala, NE 69153

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1174618458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 W A ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014695",
            "telephone_number": "308-221-6228",
            "fax_number": "308-221-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 W A ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014695",
            "telephone_number": "308-221-6228",
            "fax_number": "308-221-6869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 N Dewey St",
            "address_purpose": "LOCATION",
            "city": "North Platte",
            "state": "NE",
            "postal_code": "691013907",
            "country_code": "US",
            "telephone_number": "308-221-6228",
            "fax_number": "308-221-6869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOATSON",
        "first_name": "TRACI",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110464",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592305",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592302",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01106366",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592306",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592313",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47066229001",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592301",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "CLEMENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.