Travis John Neill, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2863 Issued in CO

Practice address

5080 Indiana St
Golden, CO 80403-1744

Phone

(303) 667-8929

Fax

(303) 656-2098

NPI assigned

Oct 2, 2009

Last updated

Apr 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: travis.neill@977875699499012.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meadows Family Medical Center Inc

  • Family Medicine Physician
  • Denver, CO
  • NPI 1962440412
  Medicare reassignment
• Flatirons Family Practice Inc

  • Family Medicine Physician
  • Broomfield, CO
  • NPI 1609802982
  NPD (past)
• Inpatient Consultants of Colorado, PC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1538461256
  NPD (past)
• Senior Care of Colorado, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Aurora, CO
  • NPI 1659313062
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1013242460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 INDIANA ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031744",
            "telephone_number": "303-667-8929",
            "fax_number": "303-656-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 INDIANA ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031744",
            "telephone_number": "303-667-8929",
            "fax_number": "303-656-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "TRAVIS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00820059",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy E. Gill, DDS
• National Jewish Western Hemotology Oncology (Physician Claims) (National Jewish Western PF)
• Nationaljewish Healthwestern Oncology (National Jewish Western)
• Nayacare LTD
• Carla Neal, CMT
• Reid Nelles, DC
• Frederick Nelson
• Katelin Nelson, OTD, OTR/L
• Kelsi Anne Nelson
• Nervewatch, LLC

• Medical Physician Assistant in Golden, CO
• Providers in Golden, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.