Individual provider Active NPI

Tracey Lynn Hamor

  • Psychiatric/Mental Health Nurse Practitioner
  • Elmwood, NE
National Provider Identifier
1215434683
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
112459 Issued in NE
Practice address
140 N 4TH St
Elmwood, NE 68349-2269
Phone
(402) 840-9896
Fax
(470) 275-0883
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G160945 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112459 NE Primary
Family Nurse Practitioner 363LF0000X 112459 NE
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

140 N 4TH St
Elmwood, NE 68349-2269

Mailing address

140 N. 4TH Street
PO Box 208
Elmwood, NE 68349-6027
Phone (402) 840-9896

Other practice location 1

221 S 4th St
Elmwood, NE 68349-6027
Phone (402) 840-9896

Other practice location 2

620 N Webb Rd
Grand Island, NE 68803
Phone (308) 675-0060

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
I20180731001281 NE Practitioner - Nurse Practitioner 9931457421 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G160945IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tracey L Hamor LLC Psychiatric/Mental Health CurrentSince Sep 27, 2020 Accepting new patients
Mid-Plains Center for Behavioral Healthcare Services, Inc. CurrentSince Jul 9, 2018 Accepting new patients
New Beginnings Family Services LLC Past Accepting new patients

Locations

914 Baumann Dr
Grand Island, NE 68803
Phone (308) 385-5250

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1215434683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N. 4TH STREET",
            "address_2": "PO BOX 208",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683496027",
            "telephone_number": "402-840-9896",
            "fax_number": "470-275-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 4TH ST",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683492269",
            "telephone_number": "402-840-9896",
            "fax_number": "470-275-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Elmwood",
            "state": "NE",
            "postal_code": "683496027",
            "country_code": "US",
            "telephone_number": "402-840-9896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Webb Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "68803",
            "country_code": "US",
            "telephone_number": "308-675-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMOR",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G160945",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "112459",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112459",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood, NE

Sources for this page

Verify at the official NPI Registry.