Individual provider · Type 1 NPI

Ellen Marie Tracy, DNP, FNP

Nurse Practitioner · St. Louis, MO

NPI number 1760005367 Active

Practice location

1110 Highlands Plaza Drive East SUITE220
St. Louis, MO 63110-3927

Mailing address

660 Mason Ridge Center Drive Ste 300
St. Louis, MO 63141

Other practice locations

  • 1202 Jackson St NE Apt 109, Washington, DC 20017-4009 · (217) 494-6234
  • 845 Bladensburg Rd NE, Washington, DC 20002-3927 · (202) 397-2600

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN500006857 (DC)
Nurse Practitioner Primary 363L00000X2024013672 (MO)
Family Nurse Practitioner 363LF0000XNP500006857 (DC)

Nurse Practitioner: (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 wit…

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About NPI 1760005367

Ellen Marie Tracy, DNP, FNP's National Provider Identifier is 1760005367, issued on May 19, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 19, 2025.