Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356969067 Individual Practitioner Female Practitioner

Traci Joy Mckinnon , FNP-C

Nurse Practitioner • Pearl Harbor, HI

Professional Overview & Biography Verified Profile Summary

Traci Mckinnon, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Pearl Harbor, HI. Practice services are available at 480 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

480 Central Ave

Pearl Harbor, HI 968604908

Telephone 8084731880
Associated Practice Facility / Clinic
🏢 U.s. Navy Facility NPI 1932182052

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pearl Harbor, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Pearl Harbor, HI (222 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License VA 24178899

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013904135

Pharmacist

NPI 1013908151

Doctor of Medicine (M.D.)

Karen Widman , RN

Registered Nurse

NPI 1023435963

Registered Nurse

Dr. Nicole Deren , MD

Family Medicine

NPI 1023469095

Doctor of Medicine (M.D.)

Nikki Price

Registered Nurse

NPI 1023608270
Dr. Joseph Jarman , DMD MS

Dentist - Prosthodontics

NPI 1033528724

DMDMS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 17, 2024

Registered at 480 CENTRAL AVE, PEARL HARBOR, HI 968604908 (Tel: 4022508845)

📍
Updated Business Mailing Address July 17, 2024

Registered at 480 CENTRAL AVE, PEARL HARBOR, HI 968604908

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2024

Nurse Practitioner (License #24178899 in VA)

NPI Profile Active July 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2020

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 4022508845)

📍
Updated Business Mailing Address July 09, 2020

Registered at 1149 BIRKS LN, VIRGINIA BEACH, VA 234645826 (Tel: 4022508845)

👤
Provider Name / Credentials Updated July 09, 2020

Recorded as TRACI MCKINNON, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2020

Nurse Practitioner (License #24178899 in VA)

🟢
Initial NPI Registration & Enumeration July 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356969067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2020
Last Update: April 24, 2025
Sole Proprietor: No

Mailing Address

480 Central Ave

Pearl Harbor, HI 968604908

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.