TRAVIS HOUSEHOLDER (PA-C) – Physician Assistant, NPI 1285032367
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for TRAVIS HOUSEHOLDER (PA-C)
PO BOX 100744
ATLANTA, GA 303846666
Phone:
Type: Mailing
3150 N TENAYA WAY STE 260
LAS VEGAS, NV 891280459
Phone: (702) 962-5920
Type: Location
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 871256666
Phone: (505) 923-6770
Fax: (505) 923-5354
Type: Mailing
201 CEDAR ST SE STE 4610
PRESBYTERIAN HEART GROUP
ALBUQUERQUE, NM 871064936
Phone: (505) 563-2500
Fax: (505) 563-2599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $2,482.
Total Amount is formed as General ($2,482) + Research ($0) + Ownership ($0) = $2,482.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ATRICURE, INC. ($1,415).
Total Amount
$2,482
General + Research + Ownership
Payments
21
Total payment records
General Amount
$2,482
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $1,415 |
| Getinge USA Sales, LLC | $614 |
| Medtronic, Inc. | $193 |
| Maquet Cardiovascular L.L.C. | $133 |
| Ethicon US, LLC | $51 |
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: 2024-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151229000076 | I | Physician Assistant | NM | TBD |
| I20240820002841 | I | Physician Assistant | NV | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | NV | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Physical Medicine And Rehabilitation | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Colorectal Surgery (Proctology) | NV | |
| Thoracic Surgery, Cardiac Surgery, Vascular Surgery | NV |
Reviews
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