Traci Doerre

Individual provider Gerontology Nurse Practitioner · NPI 1053859819

Traci Doerre is a Nurse Practitioner in Fredericksburg, Texas. Qualified in 2016, 10 years ago. Practices with South Texas Physician Group PLLC, a 16-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying: 10
Licensed in: TX
In the registry since: 2017
Specialties on file: 3

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Practice location Address checks out

808 Reuben St
Fredericksburg, TX 78624-4484
Phone: (830) 992-2560

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

551 Hill Country Dr, Kerrville, TX 78028-6085 — (830) 896-4200
1121 Broadway, Kerrville, TX 78028-3514 — (830) 258-6300
823 Junction Hwy, Kerrville, TX 78028-5056 — (830) 258-6300
250 Cully Dr, Kerrville, TX 78028-5950 — (830) 258-6300

Specialties & licences

Nurse Practitioner (primary)	Taxonomy 363L00000X · Licence AP133037 (TX)
Gerontology Nurse Practitioner	Taxonomy 363LG0600X · Licence AP133037 (TX)
Primary Care Nurse Practitioner	Taxonomy 363LP2300X · Licence AP133037 (TX)

Record details

NPI number	1053859819
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	February 1, 2017
Last updated in NPPES	February 18, 2023
Certification date	February 18, 2023
Mailing address	250 Cully Dr, Kerrville, TX 78028-5950

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2016 (10 years in practice)
Group practice	South Texas Physician Group Pllc — 16 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount