JESSICA TRAVIS (CNM) – Advanced Practice Midwife, NPI 1235631292

JESSICA TRAVIS (CNM) is a healthcare provider. based in Grand rapids, Michigan. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 4704285168 (MI). The NPI Number for JESSICA TRAVIS (CNM) is 1235631292

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA TRAVIS (CNM)
NPI
1235631292
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
6 March 2018
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
9335404706
Group Practice PAC ID
6204724834
Professional Enrollment ID
I20180606000870
Address ID
MI490906743SO955XXAVEX400

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

206 CERTIFIED NURSE MIDWIFE (CNM) in MI

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Provider Addresses for JESSICA TRAVIS (CNM)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 301, West Green Street, Hastings, Barry County, Michigan, 49058, United States

    HASTINGS, MI 49058

    Phone: (269) 945-8080

    Type: Location

  • 3238 Capital Ave SW

    Battle Creek, MI 490154302

    Phone: (269) 979-6432

    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 $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($22).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-06-06

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
I20180606000870ICertified Nurse Midwife (Cnm)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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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: 6204724834View full group profile
NameSpecialtyState
Family PracticePA
Physician AssistantMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Certified Nurse Midwife (Cnm)MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Family Practice, Hospice/Palliative CareMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Family PracticeMI
Physician AssistantMI

Reviews

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Frequently asked questions

How do payers reference JESSICA TRAVIS (CNM)?
For JESSICA TRAVIS (CNM), use NPI 1235631292 as the unique 10-digit identifier.
Would JESSICA TRAVIS (CNM) appear as active to a payer?
You can treat JESSICA TRAVIS (CNM) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JESSICA TRAVIS (CNM)?
JESSICA TRAVIS (CNM) is associated with Advanced Practice Midwife in the directory — Clinical services aligned with this taxonomy classification.
Is JESSICA TRAVIS (CNM) located near Grand Rapids?
JESSICA TRAVIS (CNM) currently maps to Grand Rapids, Michigan in this extract.
Can I trust this NPI listing for JESSICA TRAVIS (CNM)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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