Travis R Henderson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60315601 Issued in WA

Practice address

310 Torbett St
Richland, WA 99354-2604

Phone

(509) 946-7646

Fax

(509) 946-7666

NPI assigned

May 21, 2013

Last updated

May 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Excellence in Dermatology PLLCGroup PAC ID 8527123306, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.18 of 100Reported as group

Quality

100

Improvement activities

40

Cost

90.61

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Center for Excellence in Dermatology PLLC

  • Specialist
  • Hermiston, OR
  • NPI 1093061806
  Medicare reassignment Care Compare group
• Center for Excellence in Dermatology, PLLC

  • Specialist
  • Kennewick, WA
  • NPI 1669512950
  Medicare reassignment NPD
• Northwest Physician Associates PC

  • Physician Assistant
  • Arlington, WA
  • NPI 1275567919
  Medicare reassignment
• Physicians Immediate Care & Medical Centers, P.S.

  dba BestMed

  • Family Medicine Physician
  • Richland, WA
  • NPI 1821002510
  Medicare reassignment
• Northwest Healthcare and Wellness Center, PLLC

  • Family Medicine Physician
  • Richland, WA
  • NPI 1194812305
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1700222437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TORBETT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542604",
            "telephone_number": "509-946-7646",
            "fax_number": "509-946-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TORBETT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542604",
            "telephone_number": "509-946-7646",
            "fax_number": "509-946-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TRAVIS",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60315601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Heikkila, SUDPT
• Tanner Heiman, PA-C
• Steven Wayne Hellie, CDPT
• Steven R Hemingway, VA00047422
• Amanda Hemperly, RN,BSN
• Keri Hendrix, LMHCA
• Anne-Lenora Henriksen, PHARM.D.
• Michael Fitzroy Henry, MA
• Michelle M Hergesheimer, OT
• Carina Hernandez, LMP

• Medical Physician Assistant in Richland, WA
• Providers in Richland, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.