NPI

Tracie Lynn Eilerman

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
FNP
Type
Individual
Enumeration date
2018-08-11
Last updated
2025-01-03

Specialties

Licenses

License MO
2002007983
License IL
041360734
License MO
2018012811
License IL
209017718

Location

Practice location
5213 Godfrey Rd Ste 110
City
Godfrey IL
Postal code
62035-2510
Phone
(618) 619-3330

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Godfrey, IL. 198 records in the public file.

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