TRAVIS ANTHONY DALTON (ARNP) – Family Nurse Practitioner, NPI 1235394321
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,307 NURSE PRACTITIONER in WA
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Provider Addresses for TRAVIS ANTHONY DALTON (ARNP)
Home Depot Kitchen & Bathroom Refacing, 3600, Lind Avenue Southwest, Renton, King County, Washington, 98055, United States
STE 100
RENTON, WA 980574934
Phone: (425) 656-5412
Fax: (425) 656-4096
Type: Mailing
Kinetic Sports & Physical Therapy, 27203, 216th Avenue Southeast, Cherokee Bay, Cherokee Bay Park, Maple Valley, King County, Washington, 98038, United States
STE D
MAPLE VALLEY, WA 980383273
Phone: (425) 656-4100
Fax: (425) 656-4109
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2008-10-09
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20081009000054 | I | Nurse Practitioner | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 130 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 53 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 48 | 48 | $0 |
| G0008 | Administration of influenza virus vaccine | 22 | 21 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 20 | 19 | $0 |
Insurance plans in this area (ZIP 98057)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WA | 90670 | Pneumococcal vaccine for injection into muscle | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WA | |
| Internal Medicine, Hospitalist | WA | |
| P S Y C H I A T R Y | WA | |
| Internal Medicine, Hospice/Palliative Care | WA | |
| Hospitalist, Internal Medicine | CA | |
| Family Practice | WA | |
| Family Practice, Emergency Medicine | WA | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA |
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