Individual provider Active NPI

Travis C Willow, NP-C

  • Family Nurse Practitioner
  • Red Lion, PA
National Provider Identifier
1396385217
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021312 Issued in PA
Practice address
3141 Cape Horn Rd
Red Lion, PA 17356
Phone
(717) 246-5180
NPI assigned
Jan 8, 2020
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP021312 PA Primary

Addresses

Primary practice location

3141 Cape Horn Rd
Red Lion, PA 17356

Mailing address

3141 Cape Horn Rd
Red Lion, PA 17356-9071
Phone (717) 246-5180

Other practice location 1

3141 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 246-5180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200331002740 PA Practitioner - Nurse Practitioner 5597194266 Reassigns benefits to 3 organizations

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
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

2323 Linglestown Rd
Harrisburg, PA 17110-9424
Phone (717) 409-5815

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Mar 11, 2020 Accepting new patients
Ucmg LLC CurrentSince Jun 1, 2025 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Mar 11, 2020 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2323 Linglestown Rd
Harrisburg, PA 17110
Phone (717) 516-6405

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

3141 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 246-5180

Interoperability endpoints

  • Direct secure messaging: twillow307798@upmc.direct-ci.com
  • Direct secure messaging: twillow21372@gohealthupmc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1396385217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569071",
            "telephone_number": "717-246-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "17356",
            "telephone_number": "717-246-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 Cape Horn Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "17356",
            "country_code": "US",
            "telephone_number": "717-246-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOW",
        "first_name": "TRAVIS",
        "middle_name": "C",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

Verify at the official NPI Registry.