Travis Jo Gerhart Cufley, ARNP
Individual provider Active NPI Family Nurse Practitioner · Kenmore, WA
NPI 1295968360 · NPPES record last updated Jan 22, 2014
Key facts
- NPI
- 1295968360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP60102359 (WA)
- Practice address
- 18208 66TH Ave NE Ste 200
Kenmore, WA 98028-7949 - Phone
- (425) 485-6561
- Fax
- (425) 488-4939
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- King County Public Hospital District No 2
Practice addresses (Care Compare)
18151 68TH Ave NE
Suite 100
Kenmore, WA 98028-2835
Phone (425) 485-6561
Hospital & facility affiliations
- Evergreenhealth Home Care Services
- Evergreenhealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20090915000595 | WA | Practitioner - Nurse Practitioner | 7214083369 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current |
Accepting new patients | |
| King County Public Hospital District No 2 | Current |
Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Past | Accepting new patients |
Locations
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889
18208 66th Ave NE
Ste 200
Kenmore, WA 98028
Phone (425) 286-0466
18151 68th Ave NE
Ste 100
Kenmore, WA 98028
Phone (425) 485-6561
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60102359 | WA | Yes |
Addresses
Primary practice location
18208 66TH Ave NE Ste 200
Kenmore, WA 98028-7949
Mailing address
18208 66TH Ave NE Ste 200
Kenmore, WA 98028-7949
Phone (425) 485-6561
Other providers in Kenmore, WA
- Charles Ronald Coverdale
- Crescent Home Care Inc.
- Sarah Ellen Crissinger
- Idolka Cruz Bao
- David James Cudworth
- Rebecca Florence Cummings
- Milton Leo Curtis
- Gina Damilano
- Thomas S Dawson
- M. O'Donnell Day
All providers in Kenmore, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2014. 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.