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

Traci Sumer Knierim, NP

Individual provider Family Medicine Physician · NPI 1407630940

Traci Sumer Knierim, NP is a Nurse Practitioner in Mattoon, Illinois. Qualified in 2023, 3 years ago. Practices with Two Roads Wellness Clinic, LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

420 Broadway Ave E
Mattoon, IL 61938-4655
Phone: (217) 512-1370
Fax: (217) 775-0736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3115 Village Office Pl, Champaign, IL 61822-7673 — (217) 531-4101

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 209028007 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209028007 (IL)

Record details

NPI number1407630940
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address420 Broadway Ave E, Mattoon, IL 61938-4655

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 Two Roads Wellness Clinic, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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