Travis Lane Barber, MSN, RN, AGACNP-BC
Individual provider Active NPI Nurse Practitioner · Fayetteville, AR
NPI 1033067517 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1033067517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 120304 (AR)
- Practice address
- 3215 N Northhills Blvd
Fayetteville, AR 72703-4424 - Phone
- (479) 463-1000
- NPI assigned
- Mar 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
114 E Sunbridge Dr
Fayetteville, AR 72703-2830
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120304 | AR | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 120304 | AR | Yes |
Addresses
Primary practice location
3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Mailing address
2106 N Briarwood LN
Fayetteville, AR 72703
Other providers in Fayetteville, AR
- Brett Herman Baney
- Banks Family Eye Clinic PLLC
- Nick D Banks
- Laura Yasmin Barajas Torres
- Hannah Alyse Barbaree
- Jason Barclay
- Jessa Barendse
- Christina Barker
- Debra M Barker
- Maggie Barnard
All providers in Fayetteville, AR · Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.