SAMUEL D TRAVIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1447733522

SAMUEL D TRAVIS (CRNA) is a healthcare provider. based in Wichita, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 557629 (KS). The NPI Number for SAMUEL D TRAVIS (CRNA) is 1447733522

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL D TRAVIS (CRNA)
NPI
1447733522
Phone
(316) 962-2000
Address
550 N Hillside St
Enumeration Date
13 September 2018
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206532114
Graduation Year
2018 (8 years ago)
PAC ID
0345592986
Group Practice PAC ID
6709798622
Professional Enrollment ID
I20181010001370
Address ID
KS675441706HO250XXSTXX400

Contacts

Secure Messaging
CBH@ClaraBarton.CernerDirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness95
Years active:7State licenses:1Other names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for SAMUEL D TRAVIS (CRNA)

  • 550 N Hillside St

    Wichita, KS 672144910

    Phone: (316) 962-2000

    Type: Location

  • 1857 N Webb Rd

    Wichita, KS 672063413

    Phone: (316) 866-2540

    Type: Location

  • 9300 E 29th St N Ste 100

    Wichita, KS 672263007

    Phone: (316) 634-0404

    Type: Location

  • 8080 E Central Ave Ste 250

    Wichita, KS 672062367

    Phone: (316) 686-7327

    Fax: (316) 686-1557

    Type: Location

  • 250, East Central Avenue, Wichita, Sedgwick County, Kansas, 67214, United States

    WICHITA, KS 672062367

    Phone: (316) 686-7327

    Fax: (316) 686-1557

    Type: Location

  • 250 W 9TH ST

    HOISINGTON, KS 675441706

    Phone: (620) 653-2114

    Fax: (620) 653-2350

    Type: Location

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: 2018-10-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181010001370ICertified Registered Nurse Anesthetist (Crna)KSTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope7674$0
00813Anesthesia for procedure on small and large bowel using an endoscope5959$0
00812Anesthesia for exam of colon using an endoscope4545$0
00811Anesthesia for other procedure on large bowel using an endoscope3938$0
00790Anesthesia for other procedure on upper abdomen3434$0
View full utilization report →

Insurance plans in this area (ZIP 67214)

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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: 6709798622View full group profile
NameSpecialtyState
General SurgeryKS
Physician AssistantKS
Internal MedicineKS
Certified Registered Nurse Anesthetist (Crna)KS
Physician AssistantKS
General SurgeryKS
Physician AssistantKS
Rheumatology, Internal MedicineMO
Nurse PractitionerKS
General SurgeryKS

Reviews

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Frequently asked questions

How do payers reference SAMUEL D TRAVIS (CRNA)?
For SAMUEL D TRAVIS (CRNA), use NPI 1447733522 as the unique 10-digit identifier.
Is SAMUEL D TRAVIS (CRNA) still an active registrant?
SAMUEL D TRAVIS (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to SAMUEL D TRAVIS (CRNA)?
SAMUEL D TRAVIS (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMUEL D TRAVIS (CRNA)?
Travel planning: use Wichita, Kansas as the reference point for SAMUEL D TRAVIS (CRNA), then confirm.
Does SAMUEL D TRAVIS (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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