Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Traci Harp Ellison, PA-C

Individual provider Physician Assistant · NPI 1396986360

Traci Harp Ellison, PA-C is a Physician Assistant in Virginia Beach, Virginia. Graduated from University of Oklahoma College of Medicine in 2008, 18 years ago. Offers telehealth. Licensed in Texas and Virginia.

Years since qualifying
18
Trained at
University of Oklahoma College of Medicine
Licensed in
TX, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1950 Glenn Mitchell Dr Ste 102
Virginia Beach, VA 23456-0019
Phone: (757) 368-0437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002964 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA08123 (TX)

Record details

NPI number1396986360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2009
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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