NPIMap

Individual provider Active NPI

Joel A Travis, MD

  • Family Medicine Physician
  • Albion, NE
National Provider Identifier
1689608085
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19132 Issued in NE
Practice address
1019 S 8TH St
Albion, NE 68620-1760
Phone
(402) 395-5013
Fax
(402) 395-2327
NPI assigned
Jul 10, 2006
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19132 NE Primary

Addresses

Primary practice location

1019 S 8TH St
Albion, NE 68620-1760

Mailing address

PO Box 151
Albion, NE 68620-0151
Phone (402) 395-3213

Other identifiers 3

IdentifierTypeStateIssuer
30676OtherNEBCBS OF NEBRASKA
F61504OtherNEMUTUAL OF OMAHA
2825OtherNEMIDLANDS CHOICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joeltravis@boonecohealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901001142 NE Practitioner - Family Practice 6305811209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone County Health CenterGroup PAC ID 1254306178, shared by 9 NPIs, 19 clinicians

Practice addresses (Care Compare)

723 W Fairview St
Albion, NE 68620-1767
Phone (402) 395-2191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19132NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Health Center Family Medicine CurrentSince Aug 12, 1996 Accepting new patients
Boone County Health Center Family Medicine CurrentSince Aug 12, 1996 Accepting new patients
Boone County Health Center Current Accepting new patients
Boone County Health Center Past Accepting new patients
Boone County Health Center Past Accepting new patients
Boone County Health Center Past Accepting new patients

Locations

1019 S 8th St
Albion, NE 68620
Phone (402) 395-5013

1173 S 8th St
Albion, NE 68620
Phone (402) 395-5013

723 W Fairview St
Albion, NE 68620
Phone (402) 385-3149

104 N 1st St
Newman Grove, NE 68758
Phone (402) 447-6214

Interoperability endpoints

  • Direct secure messaging: joeltravis@boonecohealth.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1689608085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686200151",
            "telephone_number": "402-395-3213",
            "fax_number": "402-395-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 S 8TH ST",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201760",
            "telephone_number": "402-395-5013",
            "fax_number": "402-395-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JOEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "30676",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "F61504",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "2825",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joeltravis@boonecohealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1019 S 8th St",
            "city": "Albion",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686201760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albion, NE

Sources for this page

Verify at the official NPI Registry.