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

Traci Specht

Individual provider Family Nurse Practitioner · NPI 1144908625

Traci Specht is a Nurse Practitioner in Grand Forks, North Dakota. Qualified in 2023, 3 years ago. Practices with Legacy Medical LLC, a 20-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023

Practice location Address checks out

2100 S Columbia Rd Ste 114
Grand Forks, ND 58201-5895
Phone: (701) 516-4637
Fax: (877) 651-1381
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R31830 (ND)

Record details

NPI number1144908625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Medical Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Forks