Individual provider Active NPI

Abbey Diane Travis, CRNA

  • Certified Registered Nurse Anesthetist
  • Derby, KS
National Provider Identifier
1699809442
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55561 Issued in KS
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

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
145381OtherKSBLUE CROSS
200425610BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 4082618467, 3 clinicians
Ad Astra Anesthesia LLCGroup PAC ID 7810898608, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Ad Astra Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2021 Accepting new patients
Special Anesthesia Services PA Nurse Anesthetist, Certified Registered CurrentSince Nov 14, 2011 Accepting new patients
Kansas Spine Anesthesia Corporation PA Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.