TRAVIS HENDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093258386
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID
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Provider Addresses for TRAVIS HENDERSON (CRNA)
Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States
BOISE, ID 837061309
Phone: (208) 367-6416
Type: Location
1717 ARLINGTON AVE
CALDWELL, ID 836054802
Phone: (208) 459-4641
Type: Location
6452, East Shellbrook Drive, Nampa, Canyon County, Idaho, 83687, United States
NAMPA, ID 836874126
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20170407001395 | I | Certified Registered Nurse Anesthetist (Crna) | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 13 | 13 | $0 |
Insurance plans in this area (ZIP 83706)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Nurse Practitioner | OR | |
| A N E S T H E S I O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| Nurse Practitioner | ID | |
| P S Y C H I A T R Y | ID | |
| Diagnostic Radiology, Interventional Radiology | ID |
Reviews
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