Active NPI 1922778943 Individual Practitioner Female Practitioner

Tracey L Ellis , APRN

Nurse Practitioner - Pediatrics • Conroe, TX

Professional Overview & Biography Verified Profile Summary

Tracey Ellis, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Conroe, TX. Practice services are available at 701 E DAVIS ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 E Davis St Ste A

Conroe, TX 773013102

Telephone 9365252800

Associated Practice Facility / Clinic

🏢 Utmb Regional Maternal And Child Health Program Facility NPI 1396822557

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Conroe, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.0 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

15 Specialists

Practicing in Conroe, TX (2253 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: 2026-03-26

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 1054414

Definition to come...

Secondary Practice Locations

7900 Fannin St Ste 1400

Houston, TX 770542950

Phone: 8325827146

2813 Smith Ranch Rd Ste 205

Pearland, TX 775845254

Phone: 8325827146

4625 Lindell Blvd Fl 2

Saint Louis, MO 631083739

Phone: 9149199200

8540 Broadway St Ste 205

Pearland, TX 775847710

Phone: 8325827146

Practice Associates & Co-Workers

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

9 Associated Practitioners

Linda Otto , RN

Registered Nurse

NPI 1124217948

Registered Nurse

Vickie Woods-Modeland , PNP

Nurse Practitioner - Pediatrics

NPI 1184676777

Pediatric Nurse Practitioner

Velia Vasquez , RN

Registered Nurse

NPI 1295924017

Registered Nurse

Denise Octaviano , RN

Registered Nurse

NPI 1316136138

Registered Nurse

Maria Reams , RN

Registered Nurse

NPI 1467631994

Registered Nurse

Kirsten Emanuel , FNP-C

Nurse Practitioner - Family

NPI 1487079075

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 28, 2022

Registered at 701 E DAVIS ST STE A, CONROE, TX 773013102 (Tel: 9365252800)

📍

Updated Business Mailing Address July 28, 2022

Registered at PO BOX 650859, DEPT 710, DALLAS, TX 752651668 (Tel: 4097476240)

✅

NPI Profile Active September 20, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location September 20, 2021

Registered at 13630 BEAMER RD STE 108, HOUSTON, TX 770896037 (Tel: 2814643780)

📍

Updated Business Mailing Address September 20, 2021

Registered at 2211 KINGSTON CANYON TRL, HOUSTON, TX 770891668 (Tel: 2818816234)

👤

Provider Name / Credentials Updated September 20, 2021

Recorded as TRACEY ELLIS, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2021

Nurse Practitioner (License #1054414 in TX)

🟢

Initial NPI Registration & Enumeration September 20, 2021

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: 1922778943

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2021

Last Update: March 26, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 650859, Dept 710

Dallas, TX 752651668

Phone: 4097476240

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.