TRAVIS LEE TAYLOR (FNP-C, CRNFA) – Family Nurse Practitioner, NPI 1255597811
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for TRAVIS LEE TAYLOR (FNP-C, CRNFA)
30544 HIGHWAY 200 STE 102
PONDERAY, ID 838525005
Phone: (208) 265-9817
Type: Location
335 S LAVINA AVE
SANDPOINT, ID 838641721
Phone: (208) 946-8219
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: 2019-08-20
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 |
|---|---|---|---|---|
| I20140606000279 | I | Nurse Practitioner | ID | TBD |
| I20190820001943 | I | Nurse Practitioner | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 46 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 25 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 20 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 17 | 15 | $0 |
Insurance plans in this area (ZIP 83852)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| Orthopedic Surgery | MI | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Orthopedic Surgery | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Orthopedic Surgery | ID | |
| P O D I A T R Y | ID |
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