Kristen Travis, - Medicare Nurse Practitioner in Memphis, TN

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Kristen Travis, is a medicare enrolled "Nurse Practitioner - Family" in Memphis, Tennessee. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolina Coastal Plastic Surgery Pc and her current practice location is 6263 Poplar Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 635-9801.

Kristen Travis is licensed to practice in Tennessee (license number 19767) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265827679.

Contact Information

Kristen Travis,
6263 Poplar Ave,
Memphis, TN 38119-4701
(865) 635-9801
Not Available

Map and Direction




Provider's Profile

Full NameKristen Travis
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location6263 Poplar Ave, Memphis, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristen Travis graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1265827679
  • Provider Enumeration Date: 04/02/2015
  • Last Update Date: 01/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315242690
  • Enrollment ID: I20230223001676

Medical Identifiers

Medical identifiers for Kristen Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265827679NPI-NPPES
Q025826MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19767 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Albemarle Medical CenterElizabeth city, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Coastal Plastic Surgery Pc60029554812

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Travis allows following entities to bill medicare on her behalf.
Entity NameCarolina Coastal Plastic Surgery Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417282401
PECOS PAC ID: 6002955481
Enrollment ID: O20091124000300
Entity NameSurf Pediatrics And Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609058056
PECOS PAC ID: 8527207927
Enrollment ID: O20130614000610

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Travis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristen Travis,
160 W University Pkwy Ste C,
Jackson, TN 38305-1667

Ph: (731) 660-5116		Kristen Travis,
6263 Poplar Ave,
Memphis, TN 38119-4701

Ph: (865) 635-9801

Reviews and Comments


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Michelle L Rush, MSN, APRN, BC
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Mrs. Leslie Rhodes, PNP-BC
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Gwendolyn Watson, FNP
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Miss Jennifer Elaine Roemer, CPNP-AC
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Florida Allen, NP
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Mrs. Sarah Michelle Wredling, FNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.