Individual provider Active NPI

Traci Cheek O'Dell, FNP

  • Family Nurse Practitioner
  • Dobson, NC
National Provider Identifier
1306595335
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015985 Issued in NC
Practice address
105 N Crutchfield St # 2
Dobson, NC 27017-8804
Phone
(336) 789-2922
Fax
(336) 789-0856
NPI assigned
Mar 18, 2022
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5015985 NC
Nurse Practitioner 363L00000X 0024184233 VA
Family Nurse Practitioner 363LF0000X 5015985 NC Primary
Family Nurse Practitioner 363LF0000X 0024184233 VA
Registered Nurse 163W00000X 240958 NC

Addresses

Primary practice location

105 N Crutchfield St # 2
Dobson, NC 27017-8804

Mailing address

PO Box 325
Dobson, NC 27017-0325
Phone (336) 789-2922

Other practice location 1

7599 Carrollton Pike Ste C
Galax, VA 24333-6801
Phone (276) 728-1030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address todell@mtnvalleyhospice.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220520002499 NC Practitioner - Nurse Practitioner 7315324837 Reassigns benefits to 1 organization
I20220613003137 VA Practitioner - Nurse Practitioner 7315324837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Surry County IncGroup PAC ID 2961448741, 8 clinicians

Practice addresses (Care Compare)

1427 Edgewood Dr
Mount Airy, NC 27030-5215
Phone (888) 789-2922

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
240958NCMDRegistered Nurse
5015985NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Surry County, Inc CurrentSince Apr 26, 2022 Accepting new patients
Hospice of Surry County, Inc CurrentSince Apr 25, 2022 Accepting new patients
Hospice of Surry County, Inc Past Accepting new patients

Locations

105 N Crutchfield St
#2
Dobson, NC 27017
Phone (336) 789-2922

1427 Edgewood Dr
Mount Airy, NC 27030
Phone (336) 789-2922

1427 Edgewood Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-2922

7599 Carrollton Pike
Ste C
Galax, VA 24333
Phone (276) 728-1030

730 E Church St
Ste 13
Martinsville, VA 24112
Phone (276) 403-4764

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1306595335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270170325",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST # 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7599 Carrollton Pike Ste C",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243336801",
            "country_code": "US",
            "telephone_number": "276-728-1030",
            "fax_number": "276-728-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "TRACI",
        "middle_name": "CHEEK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015985",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024184233",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015985",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184233",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "240958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "todell@mtnvalleyhospice.org",
            "affiliation": "N",
            "address_1": "105 N Crutchfield St # 2",
            "city": "Dobson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270178804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.