TRAVIS JAMES WILLIAMS – Family Nurse Practitioner, NPI 1912443847
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
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Provider Addresses for TRAVIS JAMES WILLIAMS
240, West Burnside Avenue, Chubbuck, Bannock County, Idaho, 83202, United States
CHUBBUCK, ID 832024702
Phone: (208) 251-0690
Type: Mailing
732 HALLMARK DR
POCATELLO, ID 832012832
Phone: (208) 242-3376
Fax: (208) 242-3245
Type: Mailing
475 YELLOWSTONE AVE STE J
POCATELLO, ID 832014528
Phone: (208) 242-3376
Fax: (208) 242-3245
Type: Location
74 CALUSA WAY
CRAWFORDVILLE, FL 323271168
Phone: (208) 251-9985
Type: Mailing
1350 MARKET ST STE 202
TALLAHASSEE, FL 323121759
Phone: (509) 001-9718
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $1,142.
Total Amount is formed as General ($1,142) + Research ($0) + Ownership ($0) = $1,142.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Janssen Scientific Affairs, LLC ($1,090).
Total Amount
$1,142
General + Research + Ownership
Payments
4
Total payment records
General Amount
$1,142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Scientific Affairs, LLC | $1,090 |
| Novo Nordisk Inc | $22 |
| Kowa Pharmaceuticals America, Inc. | $16 |
| AstraZeneca Pharmaceuticals LP | $14 |
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: 2022-03-01
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 |
|---|---|---|---|---|
| I20220301002517 | I | Nurse Practitioner | FL | 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 83202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Physician Assistant | FL | |
| E N D O C R I N O L O G Y | MN | |
| - | FL | |
| Internal Medicine | FL | |
| - | IA | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | OH |
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