Tracy Jo Ellis, LMT
NPI 1649664442ActiveIndividual· Contractor· Hayden Lake, ID
Contractor (LMT) in Hayden Lake, Idaho, licensed in ID, with an NPI issued in March 2015.
Overview
| NPI | 1649664442 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMT |
| Sole proprietor | Yes |
| NPI issued | Mar 19, 2015 |
| Last updated in NPPES | Mar 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | MAS-1492 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|