Individual provider Active NPI

Travis Cramp, PA-C

  • Physician Assistant
  • Lincoln, ME
National Provider Identifier
1659046985
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2243 Issued in ME
Practice address
99 River Rd
Lincoln, ME 04457-4012
Phone
(207) 403-2000
NPI assigned
Aug 10, 2021
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2243 ME Primary

Addresses

Primary practice location

99 River Rd
Lincoln, ME 04457-4012

Mailing address

99 River Rd
Lincoln, ME 04457-4012
Phone (207) 403-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20260624004427 ME Order and Referring Only - Physician Assistant 2961809835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1659046985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 RIVER RD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574012",
            "telephone_number": "207-403-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 RIVER RD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574012",
            "telephone_number": "207-403-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMP",
        "first_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, ME

Sources for this page

Verify at the official NPI Registry.