Individual provider Active NPI

Travis Laffoon, CRNA

  • Certified Registered Nurse Anesthetist
  • Madisonville, KY
National Provider Identifier
1093171985
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3009986 Issued in KY
Practice address
900 Hospital Dr
Madisonville, KY 42431-1644
Phone
(270) 824-3682
Fax
(270) 824-3675
NPI assigned
Jan 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3009986 KY Primary

Addresses

Primary practice location

900 Hospital Dr
Madisonville, KY 42431-1644

Mailing address

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 824-3682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160120001734 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527361823 Reassigns benefits to 1 organization
I20200929000459 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527361823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians
Metropolitan Anesthesia Network LLPGroup PAC ID 5698689123, 516 clinicians
Certified Anesthesia Care CoGroup PAC ID 9436439114, 26 clinicians

Practice addresses (Care Compare)

2000 N a Ve
Northfieldm, MN 55057-1498

2000 N Ave
Northfield, MN 55057-1498
Phone (507) 646-1478

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

4645 Knutsen Dr
Farmington, MN 55024-8455
Phone (651) 460-2300

550 Osborne Rd NE
Fridley, MN 55432-2718
Phone (763) 236-4515

9801 Dupont Ave S
Suite 100
Bloomington, MN 55431-3100
Phone (952) 888-5800

Hospital & facility affiliations

  • Northfield Hospital Hospital, Northfield, MN, CCN 240014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2475MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
Northfield Hospital CurrentSince Jan 30, 2024 Accepting new patients
Ohio Valley Neurology LLC Current Accepting new patients
Certified Anesthesia Care, Co. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Metropolitan Anesthesia Network, LLP Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2020 Accepting new patients

Locations

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

9801 DuPont Ave S
Ste 100
Bloomington, MN 55431

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

400 10th St E
Waconia, MN 55387

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1093171985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-824-3682",
            "fax_number": "270-824-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-824-3682",
            "fax_number": "270-824-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFOON",
        "first_name": "TRAVIS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3009986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.