Traci Lynnette Steele, AGNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143580 Issued in TX

Practice address

801 N 4TH St
Longview, TX 75601-5414

Phone

(903) 663-2515

Fax

(903) 663-2571

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Robert Marriott Medical CorpGroup PAC ID 2567531494, 63 clinicians

Mobile Wound Care LLCGroup PAC ID 4486028685, shared by 2 NPIs, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Robert Marriott Medical Corp

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938

  TX

  Medicare reassignment Care Compare group
• Mobile Wound Care LLC

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1992502421
  Medicare reassignment NPD
• Mobile Wound Care LLC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1376240028

  Family

  Medicare reassignment NPD
• April Gatson, MD

  • Family Medicine Physician
  • Longview, TX
  • NPI 1174714737
  NPD (past)
• Verdure Health Services

  • Family Medicine Physician
  • Irving, TX
  • NPI 1801495940
  NPD (past)

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1467096685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PRIVATE ROAD 7223",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756575460",
            "telephone_number": "903-720-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015414",
            "telephone_number": "903-663-2515",
            "fax_number": "903-663-2571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Private Road 7223",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "TX",
            "postal_code": "756575460",
            "country_code": "US",
            "telephone_number": "903-720-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEELE",
        "first_name": "TRACI",
        "middle_name": "LYNNETTE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP143580",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP143580",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan G Stanley, MD
• Star Light Home Health
• Sarah E Starr, APRN
• Steady Hands Infusion & Home Health LLC
• Stebbins Hospice LLC
• Glenda Nell Stegall, RN
• Stephen Somerville MD PA
• Celeste Stephens, PT, DPT
• Jennifer Stephens
• Thaddeus Stephenson Jr., RKT

• Family Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.