TRAVIS LEE WACHA (FNP-BC, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104374297
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TRAVIS LEE WACHA (FNP-BC, PMHNP-BC)
Loop 256, Palestine, Anderson County, Texas, 75801, United States
PALESTINE, TX 758018467
Phone: (903) 731-5000
Type: Mailing
4265 FM 1990
PALESTINE, TX 758011102
Phone: (903) 724-3913
Type: Mailing
4659 FM 1990
PALESTINE, TX 758011162
Phone: (903) 213-2216
Fax: (903) 213-9233
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $193.
Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($114).
Total Amount
$193
General + Research + Ownership
Payments
5
Total payment records
General Amount
$193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $114 |
| ABBVIE INC. | $23 |
| Neurocrine BioSciences, Inc. | $21 |
| Axsome Therapeutics, Inc. | $19 |
| Alkermes, Inc. | $16 |
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: 2016-12-16
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 |
|---|---|---|---|---|
| I20161216001372 | I | Nurse Practitioner | TX | 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 75801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology) | TN | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine | TX | |
| Orthopedic Surgery | TX | |
| Cardiovascular Disease (Cardiology) | TN |
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