Doctor profile · Federal record

Dr. TRACI KNIERIM, NP

Family Medicine Physician (CMS: NURSE PRACTITIONER) · Family Nurse Practitioner · MATTOON, IL

  • NPI 1407630940
  • Accepts Medicare
  • 3 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
420 BROADWAY AVE E
MATTOON, IL 619384655
(217) 512-1370
fax (217) 775-0736
Additional location
3115 Village Office Pl
Champaign, IL 618227673
(217) 531-4101
fax (217) 954-9290

Credentials & registration

NPPES · NUCC
NPI registered
August 2023 — 3 yrs on file
Profile last updated
April 6, 2026
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Illinois #209028007

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1407630940. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
12
Distinct HCPCS
1
Medicare allowed
$910
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 12 12 $76

In context: peer comparison

Among 8 peers in this city , average services per provider: 104. This provider delivers 0.1× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$128
Transactions
7
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Lundbeck LLC 2 $35.87
ABBVIE INC. 2 $35.60
Otsuka America Pharmaceutical, Inc. 1 $25.68
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) 1 $15.71
AstraZeneca Pharmaceuticals LP 1 $14.98

By nature of payment

Food and Beverage
$128