| Travis Jewell Null, FNP | |
|
1607 E Us Highway 136, Albany, MO 64402-8223 | |
| (660) 726-3333 | |
| (660) 726-3232 |
| Full Name | Travis Jewell Null |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1607 E Us Highway 136, Albany, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083084875 | NPI | - | NPPES |
| 2015035371 | Other | MO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2015035371 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mosaic Life Care Home Health | Saint joseph, MO | Home health agency |
| Mosaic Medical Center Albany | Albany, MO | Hospital |
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Mosaic Medical Center - Maryville | Maryville, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Medical Center Association Inc | 5496641896 | 38 |
| Entity Name | Northwest Medical Center Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124164322 PECOS PAC ID: 5496641896 Enrollment ID: O20040224000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Jewell Null, FNP 1607 E Us Highway 136, Albany, MO 64402-8223 Ph: (660) 726-3333 | Travis Jewell Null, FNP 1607 E Us Highway 136, Albany, MO 64402-8223 Ph: (660) 726-3333 |
Kimberly Marie Allen, APRN- FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1607 E Us Highway 136, Albany, MO 64402 Phone: 660-726-3333 Fax: 660-726-3232 |