Individual provider Active NPI

Traci Linn Ernest

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1578076345
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022037 Issued in OH
Practice address
30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Phone
(937) 523-9820
Fax
(513) 523-9829
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013815 NC
Family Nurse Practitioner 363LF0000X APRN.CNP.022037 OH Primary
Nurse Practitioner 363L00000X APRN.CNP.022037 OH

Addresses

Primary practice location

30 W McCreight Ave Ste 106
Springfield, OH 45504-1853

Mailing address

30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Phone (937) 523-9820

Other practice location 1

3130 N County Road 25A Ste 212
Troy, OH 45373-1337
Phone (937) 335-1660

Other practice location 2

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Other practice location 3

1416 W 1st St
Springfield, OH 45504-1923
Phone (937) 521-8150

Other names 1

  • Traci Hampton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 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
I20180330000357 OH Practitioner - Nurse Practitioner 7517229602 Reassigns benefits to 2 organizations
I20210329002586 GA Practitioner - Nurse Practitioner 7517229602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions, LLC Family CurrentSince Feb 24, 2018 Accepting new patients
Union County Hospital Authority CurrentSince Dec 23, 2020 Accepting new patients
Union County Hospital Authority Current Accepting new patients
Uvpc Specialists Inc. CurrentSince Feb 27, 2018 Accepting new patients
Incare Health Solutions LLC CurrentSince Feb 24, 2018 Accepting new patients
Union County Hospital Authority CurrentSince Dec 23, 2020 Accepting new patients
Uvpc Specialists, Inc. CurrentSince Feb 27, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

1107 S Main St
Ste 300
Bowling Green, OH 43402
Phone (419) 806-4222

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1578076345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE STE 106",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041853",
            "telephone_number": "937-523-9820",
            "fax_number": "513-523-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE STE 106",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041853",
            "telephone_number": "937-523-9820",
            "fax_number": "513-523-9829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 N County Road 25A Ste 212",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-335-1660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123139",
            "country_code": "US",
            "telephone_number": "706-745-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1416 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455041923",
            "country_code": "US",
            "telephone_number": "937-521-8150",
            "fax_number": "828-415-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNEST",
        "first_name": "TRACI",
        "middle_name": "LINN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022037",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "HAMPTON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.