Active NPI
Abbey Diane Travis, CRNA
- Certified Registered Nurse Anesthetist
- Derby, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 55561
- Practice address
- 1257 N Buckner St
Derby, KS 67037-2721 - Phone
- (316) 788-5939
- Fax
- (316) 788-5945
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 55561 | KS | Primary |
Addresses
Primary practice location
1257 N Buckner St
Derby, KS 67037-2721
Mailing address
1257 N Buckner St
Derby, KS 67037-2721
Phone (316) 788-5939
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145381 | Other | KS | BLUE CROSS |
| 200425610B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070507000471 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143325209 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Special Anesthesia Services PAAd Astra Anesthesia LLC
Practice addresses (Care Compare)
1257 N Buckner Ave
Derby, KS 67037-1609
1257 N Buckner St
Derby, KS 67037-2721
Phone (316) 788-5939
727 N Baltimore Ave
Derby, KS 67037-1609
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ad Astra Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Special Anesthesia Services PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kansas Spine Anesthesia Corporation PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Central Kansas Anesthesia PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1257 N Buckner St
Derby, KS 67037
Phone (316) 788-5939
727 N Baltimore Ave
Derby, KS 67037
Phone (316) 788-5939
1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187
1311 Wheatland Dr
Hutchinson, KS 67502
Phone (620) 663-5044
3933 N Maize Rd
Ste 200
Maize, KS 67101
Phone (316) 202-0140
431 Victoria Rd
Newton, KS 67114
Phone (316) 283-2970
7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388
3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000
2818 N Greenwich Rd
Wichita, KS 67226
Phone (316) 685-2207
3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000
3121 N Webb Rd
Ste 100
Wichita, KS 67226
6943 W 37th St N
Wichita, KS 67205
Phone (316) 613-2077
4013 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-8015
Interoperability endpoints
- abbey.travis@directsbamh.org
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Derby, KS
- NPI 1316918816
KS, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Derby, KS
- NPI 1528035714
KS, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1720345911
KS, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Great Bend, KS
- NPI 1497723225
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1699809442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 N BUCKNER ST",
"city": "DERBY",
"state": "KS",
"postal_code": "670372721",
"telephone_number": "316-788-5939",
"fax_number": "316-788-5945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 N BUCKNER ST",
"city": "DERBY",
"state": "KS",
"postal_code": "670372721",
"telephone_number": "316-788-5939",
"fax_number": "316-788-5945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "ABBEY",
"middle_name": "DIANE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "55561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "145381",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200425610B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.