TRAVIS JEWELL NULL (FNP) – Family Nurse Practitioner, NPI 1083084875

TRAVIS JEWELL NULL (FNP) is a healthcare provider. based in Stanberry, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2015035371 (MO). The NPI Number for TRAVIS JEWELL NULL (FNP) is 1083084875

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS JEWELL NULL (FNP)
NPI
1083084875
Phone
(660) 783-2192
Address
202 E Main St
Enumeration Date
6 October 2015
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6607263333
Graduation Year
2015 (11 years ago)
PAC ID
4284937251
Group Practice PAC ID
5496641896
Professional Enrollment ID
I20160125002851
Address ID
MO644028223AL1607X136X501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for TRAVIS JEWELL NULL (FNP)

  • 202 E Main St

    Stanberry, MO 644891358

    Phone: (660) 783-2192

    Type: Location

  • 1607 E US HIGHWAY 136

    ALBANY, MO 644028223

    Phone: (660) 726-3333

    Fax: (660) 726-3232

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2016-01-25

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
I20160125002851INurse PractitionerMOTBD

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 64489)

Loading plans...

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: 5496641896View full group profile
NameSpecialtyState
Internal MedicineMO
Physician AssistantMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
Emergency MedicineMO
H O S P I T A L I S TAR
Emergency MedicineKS
Internal Medicine, HospitalistMO
Family PracticeMO
Emergency MedicineWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to TRAVIS JEWELL NULL (FNP)?
NPI 1083084875 is assigned to TRAVIS JEWELL NULL (FNP) under the national enumeration system.
Is TRAVIS JEWELL NULL (FNP) active in the national directory?
TRAVIS JEWELL NULL (FNP)'s public NPI profile is in an active state.
Does TRAVIS JEWELL NULL (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for TRAVIS JEWELL NULL (FNP). Clinical services aligned with this taxonomy classification.
Where does public data place TRAVIS JEWELL NULL (FNP)?
The snapshot lists Stanberry, Missouri for TRAVIS JEWELL NULL (FNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

CALLIE HUNTER (CNP)

Family Nurse Practitioner
202 E MAIN ST
NPI: 1932579737

TAMMY SPARKS (MSN, APRN, FNP-C)

Family Nurse Practitioner
921 N WALNUT ST
NPI: 1699215921

KIMBERLY MARIE ALLEN (APRN- FNP-BC)

Family Nurse Practitioner
1607 E US HIGHWAY 136
NPI: 1750800272

AMY MICHELLE DONOVAN

Family Nurse Practitioner
202 E MAIN ST
NPI: 1215809793