JESSE TRAVIS – Certified Registered Nurse Anesthetist, NPI 1083139117

JESSE TRAVIS is a healthcare provider. based in Johnstown, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN.1619552 (CO). The NPI Number for JESSE TRAVIS is 1083139117

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JESSE TRAVIS
NPI
1083139117
Phone
Not provided
Address
4102 CARROWAY SEED DR
Enumeration Date
9 August 2017
Last Update Date
9 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3085688000
Graduation Year
2017 (9 years ago)
PAC ID
2466711973
Group Practice PAC ID
6507856697
Professional Enrollment ID
I20220801001343
Address ID
NE691016525NO601XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

801 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

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Provider Addresses for JESSE TRAVIS

  • 4102 CARROWAY SEED DR

    JOHNSTOWN, CO 805348257

    Phone:

    Type: Mailing

  • North Colorado Medical Center, 1801, 16th Street, Greeley, Weld County, Colorado, 80631, United States

    GREELEY, CO 806315154

    Phone: (970) 810-4819

    Fax: (970) 810-4015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180108003086ICertified Registered Nurse Anesthetist (Crna)COTBD
I20220801001343ICertified Registered Nurse Anesthetist (Crna)NETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)3535$0
01402Anesthesia for procedure for total knee joint replacement2525$0
76942Ultrasonic guidance for needle placement2121$0
00840Anesthesia for other procedure on lower abdomen1616$0
01214Anesthesia for total hip replacement1616$0
View full utilization report →

Insurance plans in this area (ZIP 80534)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507856697View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyNE
Physical Medicine And RehabilitationNE
U R O L O G YNE
Nurse PractitionerCO
P S Y C H I A T R YIA
P A T H O L O G YNE
Sleep MedicineIA
Physician AssistantNE
Plastic And Reconstructive SurgeryNE
Physician AssistantNE

Reviews

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Frequently asked questions

Is JESSE TRAVIS listed with a National Provider Identifier?
Yes — JESSE TRAVIS has NPI 1083139117 on file in the registry.
Active or inactive — what applies to JESSE TRAVIS?
You should see JESSE TRAVIS as active in CMS-hosted NPPES data.
What kind of doctor is JESSE TRAVIS?
JESSE TRAVIS is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JESSE TRAVIS?
Travel planning: use Johnstown, Colorado as the reference point for JESSE TRAVIS, then confirm.
When was this NPI issued?
Enumeration for JESSE TRAVIS is noted as August 9, 2017 where the registry provides it.

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