TRAVIS RAY EVANS (FNP) – Family Nurse Practitioner, NPI 1861742702

TRAVIS RAY EVANS (FNP) is a healthcare provider. based in La grande, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. NP-1193A (ID). The NPI Number for TRAVIS RAY EVANS (FNP) is 1861742702

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS RAY EVANS (FNP)
NPI
1861742702
Phone
(541) 663-3138
Address
506 4TH ST
Enumeration Date
19 September 2012
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087823990
Graduation Year
2012 (14 years ago)
PAC ID
2062664683
Group Practice PAC ID
8426149758
Professional Enrollment ID
I20130620000322
Address ID
ID832211711BL315XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for TRAVIS RAY EVANS (FNP)

  • 506 4TH ST

    LA GRANDE, OR 978501906

    Phone: (541) 663-3138

    Type: Mailing

  • 98 POPLAR ST

    BLACKFOOT, ID 832211758

    Phone: (208) 782-3700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($138).

Total Amount

$489

General + Research + Ownership

Payments

19

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2013-06-20

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
I20130620000322INurse PractitionerIDTBD

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 97850)

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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: 8426149758View full group profile
NameSpecialtyState
N E U R O S U R G E R YID
O B S T E T R I C S/ G Y N E C O L O G YID
-MO
Physician AssistantID
-ID
Emergency MedicineID
O B S T E T R I C S/ G Y N E C O L O G YOK
-ID
Family PracticeOK
-WA

Reviews

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Frequently asked questions

Is TRAVIS RAY EVANS (FNP) listed with a National Provider Identifier?
Yes — TRAVIS RAY EVANS (FNP) has NPI 1861742702 on file in the registry.
Is TRAVIS RAY EVANS (FNP) still an active registrant?
TRAVIS RAY EVANS (FNP) carries an active NPI according to the public dataset.
What kind of doctor is TRAVIS RAY EVANS (FNP)?
TRAVIS RAY EVANS (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with TRAVIS RAY EVANS (FNP)?
Directory geography for TRAVIS RAY EVANS (FNP) centers on La Grande, Oregon.
Can I trust this NPI listing for TRAVIS RAY EVANS (FNP)?
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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