Individual provider Active NPI

Travis Clouse

  • Acute Care Nurse Practitioner
  • Findlay, OH
National Provider Identifier
1134770944
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP025679 Issued in OH
Practice address
1900 S Main St
Findlay, OH 45840-1214
Phone
(419) 423-3188
NPI assigned
Sep 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP025679 OH Primary

Addresses

Primary practice location

1900 S Main St
Findlay, OH 45840-1214

Mailing address

9764 County Road 59
Carey, OH 43316-9608
Phone (419) 889-1854

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20191203000372 OH Practitioner - Nurse Practitioner 0244663490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians

Practice addresses (Care Compare)

1900 S Main St
CDS Room 3349
Findlay, OH 45840-1214
Phone (833) 204-3278

Hospital & facility affiliations

  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095
  • Bluffton Hospital Hospital, Bluffton, OH, CCN 361322

Merit-based Incentive Payment System (MIPS)

Final score
71.66 of 100Reported as group
Quality
52.4
Promoting interoperability
84
Improvement activities
40
Cost
66.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP025679OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Blanchard Valley LLC CurrentSince Oct 7, 2019 Accepting new patients

Locations

1900 S Main St
Rm 3349
Findlay, OH 45840
Phone (419) 423-3188

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

Organizations & group practices 1

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 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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1134770944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9764 COUNTY ROAD 59",
            "city": "CAREY",
            "state": "OH",
            "postal_code": "433169608",
            "telephone_number": "419-889-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401214",
            "telephone_number": "419-423-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP025679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.