Travis Walker, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341969 Issued in NY

Practice address

16121 Jamaica Ave FL 7
Jamaica, NY 11432-6113

Phone

(929) 421-4630

NPI assigned

Aug 6, 2017

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 NY

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MVP Medical Practice PCGroup PAC ID 5395970362, 17 clinicians

Simple Healthcare, NP in Family Health, PLLCGroup PAC ID 6204362239, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as group

Quality

81.41

Improvement activities

40

Cost

73.11

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: travis.walker.1@24989.direct.athenahealth.com
• Direct secure messaging: travis.walker.1@26356.direct.athenahealth.com
• Direct secure messaging: travis.walker.1@30259.direct.athenahealth.com

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.

• MVP Medical Practice PC

  • Infectious Disease Physician
  • Brooklyn, NY
  • NPI 1912541061
  Medicare reassignment Care Compare group NPD
• Simple Healthcare, NP in Family Health, PLLC

  • Family Medicine Physician
  • Albany, NY
  • NPI 1760263354
  Medicare reassignment Care Compare group NPD
• Ajs Brooklyn Medical Practice PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1558707299
  NPD

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

{
    "created_epoch": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1750806204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16121 JAMAICA AVE FL 7",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326113",
            "telephone_number": "929-421-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16121 JAMAICA AVE FL 7",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326113",
            "telephone_number": "929-421-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TRAVIS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-06",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Annette Walker
• Latoya Rashaun Walker, LPN
• Michaia Walker, LCSW
• Shereka Kayann Walker
• Sherene Walker, LPN
• Vesta Walker, LCSW
• Kiera Wallace Robinson, MD, MPH
• David Wallach, OD
• Sheena Andree Wallerson
• Danny Walls

• Family Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.