Individual provider Active NPI

Traci Ann Lella, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1336852094
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10956-33 Issued in WI
Practice address
1714 W Anklam Rd Ste 104
Tucson, AZ 85745-2690
Phone
(520) 404-1113
NPI assigned
Dec 27, 2022
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350854 NY
Family Nurse Practitioner 363LF0000X 95017747 CA
Family Nurse Practitioner 363LF0000X 10956-33 WI Primary

Addresses

Primary practice location

1714 W Anklam Rd Ste 104
Tucson, AZ 85745-2690

Mailing address

5257 W Bobwhite Way
Tucson, AZ 85742-9371
Phone (720) 357-6243

Other names 1

  • Mrs. Traci Ann Pittel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NY2 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
I20230228003262 AZ Practitioner - Nurse Practitioner 9830562578 Reassigns benefits to 1 organization
I20250307001325 NY Practitioner - Nurse Practitioner 9830562578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
83.77
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
350854NYMDLicensed Practical Nurse
95017747CAMDFamily Nurse Practitioner
10956-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Apr 7, 2025 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Apr 7, 2025 Accepting new patients
Arnot Medical Services PLLC CurrentSince Apr 7, 2025 Accepting new patients
Arnot Ogden Medical Center CurrentSince Apr 7, 2025 Accepting new patients
Ira Davenport Memorial Hospital, Inc. Current Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients
Chemung Medical Services PC PastSince Apr 7, 2025 Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

123 Conhocton St
Ste 103
Corning, NY 14830
Phone (607) 438-1200

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

600 Fitch St
Ste 202
Elmira, NY 14905
Phone (607) 271-3780

600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050

600 Roe Ave
Ste 1A
Elmira, NY 14905
Phone (607) 737-4130

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

104 S Porter St
Watkins Glen, NY 14891
Phone (607) 535-7873

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1336852094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 W BOBWHITE WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429371",
            "telephone_number": "720-357-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W ANKLAM RD STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452690",
            "telephone_number": "520-404-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELLA",
        "first_name": "TRACI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350854",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017747",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10956-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "PITTEL",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.