Active NPI
Travis L Prachar, ARNP
- Family Nurse Practitioner
- Venice, FL
National Provider Identifier
1265428973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9281840
- Practice address
- 1700 E Venice Ave
Venice, FL 34292-3190 - Phone
- (941) 483-9760
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A092106 | IA | |
| Family Nurse Practitioner | 363LF0000X | ARNP9281840 | FL | Primary |
Addresses
Primary practice location
1700 E Venice Ave
Venice, FL 34292-3190
Mailing address
1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25414 | Other | IA | WELLMARK BCBS |
| 0423210 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | travis.prachar.1@4692.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
329 Nokomis Ave S
Suite H
Venice, FL 34285-2418
Phone (941) 777-2775
Hospital & facility affiliations
- Discovery at Home LLC
- Trilogy Home Healthcare
- Haven Home Health Care
- Sarasota Memorial Hospital - Venice
- Sarasota Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A092106 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty First Health | Current | Accepting new patients | |
| Liberty First Health, LLC | Current | Accepting new patients |
Locations
329 Nokomis Ave S
Ste H
Venice, FL 34285
Phone (317) 250-0371
Interoperability endpoints
- travis.prachar.1@4692.direct.athenahealth.com
- travis.prachar@371903444090884.direct.elationemr.com
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1609532936
-
- Primary Care Clinic/Center
- Venice, FL
- NPI 1982369401
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1427352558
-
- Home Health Agency
- Venice, FL
- NPI 1518429166
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- Home Health Agency
- Sarasota, FL
- NPI 1073751780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1265428973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342923190",
"telephone_number": "941-483-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342923190",
"telephone_number": "941-483-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRACHAR",
"first_name": "TRAVIS",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A092106",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9281840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "25414",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0423210",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "travis.prachar.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1700 E Venice Ave",
"city": "Venice",
"state": "FL",
"country_code": "US",
"postal_code": "342923190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.