TRAVIS J SULLIVAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1881950350
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
Provider Addresses for TRAVIS J SULLIVAN (CRNA)
3420 JACKSON ST
SUITE E
OSHKOSH, WI 549018144
Phone: (920) 426-2211
Type: Mailing
500 S OAKWOOD RD
OSHKOSH, WI 549047944
Phone: (920) 223-1941
Type: Location
500 S Oakwood Rd
Oshkosh, WI 549047944
Phone: (920) 223-1941
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (414) 328-6000
Type: Mailing
8901 W LINCOLN AVE
WEST ALLIS, WI 532272409
Phone: (414) 328-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Medtronic, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $15 |
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: 2012-08-08
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 |
|---|---|---|---|---|
| I20120808000638 | I | Certified Registered Nurse Anesthetist (Crna) | WI | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 78 | 76 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 23 | 23 | $0 |
Insurance plans in this area (ZIP 54901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 14 | 14 |
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 23 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IN |
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