MARY ANN TRAVILLIAN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306469994
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for MARY ANN TRAVILLIAN (APRN)
1050 BALD KNOB RD
BEAVER DAM, KY 423209402
Phone: (270) 256-7473
Type: Mailing
1050 Bald Knob Rd
Beaver Dam, KY 423209402
Phone: (270) 256-7473
Type: Location
204 N MAIN ST
ELIZABETHTOWN, KY 427011417
Phone: (270) 360-1222
Fax: (270) 360-0333
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $467.
Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($176).
Total Amount
$467
General + Research + Ownership
Payments
38
Total payment records
General Amount
$467
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $176 |
| Lundbeck LLC | $147 |
| Corium, LLC | $64 |
| IRONSHORE PHARMACEUTICALS INC. | $37 |
| Alkermes, Inc. | $28 |
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: 2020-12-28
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 |
|---|---|---|---|---|
| I20201228002464 | I | Nurse Practitioner | KY | 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 42320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KY | |
| Clinical Psychologist | KY | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | KY | |
| - | KY | |
| Nurse Practitioner | KY |
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