Active NPI
Travis Wolfangel, DNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 299547
- Practice address
- 3326 N 3Rd Ave Ste 201
Phoenix, AZ 85013-4336 - Phone
- (602) 625-7944
- Fax
- (602) 865-7576
- NPI assigned
- Jun 17, 2021
- Last updated
- Mar 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95026658 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 299547 | AZ | Primary |
| Registered Nurse | 163W00000X | 2018008495 | MO |
Addresses
Primary practice location
3326 N 3Rd Ave Ste 201
Phoenix, AZ 85013-4336
Mailing address
3326 N 3Rd Ave Ste 201
Phoenix, AZ 85013-4336
Phone (602) 625-7944
Other practice location 1
635 W Glenrosa Ave Ste 104
Phoenix, AZ 85013-3374
Phone (602) 625-7944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3326 N 3Rd Ave
Suite 201
Phoenix, AZ 85013-4336
Phone (602) 625-7944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018008495 | MO | MD | Registered Nurse |
| 299547 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| NP95026658 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Health and Wellness PLLC | Current | Accepting new patients | |
| Alveo LC | Past | Accepting new patients |
Locations
3326 N 3rd Ave
Ste 201
Phoenix, AZ 85013
Phone (602) 625-7944
635 W Glenrosa Ave
Ste 104
Phoenix, AZ 85013
Phone 6026257944 ext. 57944
Interoperability endpoints
- https://api.platform.athenahealth.com/27169/brand/1/csg/1/fhir/r4
- travis.wolfangel.2@27169.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1992476543
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1841194040
-
dba Arizona Chest and Sleep Medicine
- Pulmonary Disease Physician
- Phoenix, AZ
- NPI 1639517436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1316516065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 N 3RD AVE STE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134336",
"telephone_number": "602-625-7944",
"fax_number": "602-865-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3326 N 3RD AVE STE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134336",
"telephone_number": "602-625-7944",
"fax_number": "602-865-7576"
}
],
"practiceLocations": [
{
"address_1": "635 W Glenrosa Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850133374",
"country_code": "US",
"telephone_number": "602-625-7944",
"fax_number": "602-865-7576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFANGEL",
"first_name": "TRAVIS",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP95026658",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "299547",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2018008495",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.