Travis Jewell Null, FNP
Individual provider Active NPI Family Nurse Practitioner · Albany, MO
NPI 1083084875 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1083084875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2015035371 (MO)
- Practice address
- 1607 E US Highway 136
Albany, MO 64402-8223 - Phone
- (660) 726-3333
- Fax
- (660) 726-3232
- NPI assigned
- Oct 6, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwest Medical Center Association Inc
Practice addresses (Care Compare)
1607 E US Hwy 136
Mosaic Family Care Albany East
Albany, MO 64402-8223
Phone (660) 726-3333
Hospital & facility affiliations
- Mosaic Life Care Home Health
- Mosaic Medical Center Albany
- Mosaic Life Care at St Joseph
- Mosaic Medical Center - Maryville
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.47 of 100
- Quality
- 81.87
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 30.23
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125002851 | MO | Practitioner - Nurse Practitioner | 4284937251 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015035371 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Center Association, Inc | Current |
Accepting new patients | |
| Northwest Medical Center Association Inc | Current |
Accepting new patients |
Locations
705 N College St
Albany, MO 64402
Phone (660) 726-3941
1607 E US Highway 136
Albany, MO 64402
Phone (660) 726-3333
202 E Main St
Stanberry, MO 64489
Phone (660) 783-2092
Interoperability endpoints
- travis.null@direct.mymlc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015035371 | MO | Yes |
Addresses
Primary practice location
1607 E US Highway 136
Albany, MO 64402-8223
Mailing address
1607 E US Highway 136
Albany, MO 64402-8223
Phone (660) 726-3333
Other practice location 1
202 E Main St
Stanberry, MO 64489-1358
Phone (660) 783-2192
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015035371 | Other | MO | STATE LICENSE |
Other providers in Albany, MO
- Northwest Medical Center Association, Inc
- Northwest Medical Center Association, Inc.
- Northwest Medical Center Association, Inc.
- Northwest Medical Center Association, Inc.
- Northwest Missouri Area Agency on Aging
- Kari Ann Oneal
- Pamida Stores Operating Co LLC
- Matalie Place
- Rogers Residential Services, Inc.
- Ryann Rychelle Rosier
All providers in Albany, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.