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

Tracy Mottley Ellis

Individual provider Registered Nurse · NPI 1053240929

Tracy Mottley Ellis is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

1915 Forest Ave
Staten Island, NY 10303-2127
Phone: (718) 981-3136
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence N18190-01 (NY)

Record details

NPI number1053240929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 17, 2026

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