Tracey L Ellis, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1054414 Issued in TX

Practice address

701 E Davis St Ste a
Conroe, TX 77301-3102

Phone

(936) 525-2800

NPI assigned

Sep 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tellis252141@memorialhermann.direct-ci.com
• FHIR API: https://epicproxy.et1326.epichosted.com/FHIRProxy/MHCC/api/FHIR/R4

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.

• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment NPD
• Maeville Pediatrics PLLC

  • Pediatrics Physician
  • Pearland, TX
  • NPI 1780344358
  NPD (past)
• Nasa Casa de Ninos Pediatric Center, PA

  • Pediatrics Physician
  • Houston, TX
  • NPI 1023329117
  NPD (past)
• University of Texas Medical Branch at Galveston

  • Community/Retail Pharmacy
  • Friendswood, TX
  • NPI 1699532861
  NPD (past)

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1922778943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752651668",
            "telephone_number": "409-747-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E DAVIS ST STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773013102",
            "telephone_number": "936-525-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Fannin St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542950",
            "country_code": "US",
            "telephone_number": "832-582-7146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2813 Smith Ranch Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775845254",
            "country_code": "US",
            "telephone_number": "832-582-7146 x28154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4625 Lindell Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083739",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8540 Broadway St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847710",
            "country_code": "US",
            "telephone_number": "832-582-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TRACEY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1054414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliseo Cummings, D.C. (Rice Chiropractic Clinic)
• Jamie Eller, DO
• Ellis Endodontics, PA
• Gregory Ellis, DDS, MSCD
• Tiffany D Ellis, LPC
• Ayodeji Elusoji
• Meagan A Elzner, LPC
• Kirsten Lauren Emanuel, FNP-C
• Embracing Elegant Home Care LLC
• Emel Enterprises

• Pediatric Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.