Individual provider Active NPI

Travis Wolfangel, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1316516065
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
299547 Issued in AZ
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530002119 AZ Practitioner - Nurse Practitioner 6204345457 Reassigns benefits to 1 organization

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
Your Health and Wellness PLLCGroup PAC ID 8426434333, 5 clinicians

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

LicenseStateTypeSpecialty
2018008495MOMDRegistered Nurse
299547AZMDPsychiatric/Mental Health Nurse Practitioner
NP95026658CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Health and Wellness PLLC CurrentSince Mar 15, 2025 Accepting new patients
Alveo LC PastSince Mar 31, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/27169/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.