Individual provider Active NPI

Travis Randal Schulze, CRNA

  • Certified Registered Nurse Anesthetist
  • Manchester, IA
National Provider Identifier
1073248951
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
175009 Issued in IA
Practice address
712 W Main St
Manchester, IA 52057-1525
Phone
(563) 822-1435
Fax
(563) 822-1436
NPI assigned
Jul 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 2019031860 MO
Certified Registered Nurse Anesthetist 367500000X 175009 IA Primary

Addresses

Primary practice location

712 W Main St
Manchester, IA 52057-1525

Mailing address

22399 186TH Ave
Manchester, IA 52057-8682
Phone (318) 272-9888

Other practice location 1

112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823003048 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618330606 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Memorial HospitalGroup PAC ID 9931010790, 47 clinicians
Delaware County Memorial HospitalGroup PAC ID 2062316375, shared by 11 NPIs, 80 clinicians

Practice addresses (Care Compare)

1600 1St St E
Independence, IA 50644-3155
Phone (319) 332-0999

709 W Main St
Professional Service
Manchester, IA 52057-1526
Phone (563) 927-7533

Hospital & facility affiliations

  • Buchanan County Health Center Hospital, Independence, IA, CCN 161335
  • Regional Medical Center Hospital, Manchester, IA, CCN 161343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019031860MOMDRegistered Nurse
175009IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Virginia Gay Hospital, Inc Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Delaware County Memorial Hospital Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
People'S Memorial Hospital Single Specialty CurrentSince Aug 30, 2023 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Jan 2, 2024 Accepting new patients
Palmer Lutheran Health Center, Inc. Single Specialty CurrentSince Dec 18, 2025 Accepting new patients
People'S Memorial Hospital CurrentSince Aug 30, 2023 Accepting new patients
Iowa Physicians Clinic Medical Foundation Single Specialty CurrentSince Aug 25, 2025 Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Aug 23, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Sumner Community Club Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Cedar Valley Medical Specialists PC Single Specialty Current Accepting new patients
Delaware County Memorial Hospital Single Specialty Current Accepting new patients
Sumner Community Club Single Specialty CurrentSince Aug 24, 2023 Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Aug 23, 2023 Accepting new patients
Sumner Community Club Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2023 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Jan 2, 2024 Accepting new patients
Delaware County Memorial Hospital PastSince Jul 31, 2023 Accepting new patients
Guttenberg Municipal Hospital Single Specialty Past Accepting new patients
Guttenberg Municipal Hospital Past Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121

1100 1st St E
Independence, IA 50644
Phone (319) 334-2541

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

709 W Main St
#359
Manchester, IA 52057
Phone (563) 927-7457

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

1731 W Ridgeway Ave
Ste 300
Waterloo, IA 50701
Phone (319) 833-5800

1015 S Hackett Rd
Waterloo, IA 50701
Phone (319) 234-5990

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

Interoperability endpoints

  • Direct secure messaging: tschulze991196@direct.unitypoint.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/

Organizations & group practices 24

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

View all 24

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1073248951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22399 186TH AVE",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520578682",
            "telephone_number": "318-272-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571525",
            "telephone_number": "563-822-1435",
            "fax_number": "563-822-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "West Union",
            "state": "IA",
            "postal_code": "521751022",
            "country_code": "US",
            "telephone_number": "563-422-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "TRAVIS",
        "middle_name": "RANDAL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-23",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2019031860",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "175009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.