Active NPI
Travis James Hargreaves
- Certified Registered Nurse Anesthetist
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 120518
- Practice address
- 3701 12TH St N Ste 202
Saint Cloud, MN 56303 - Phone
- (320) 251-2700
- NPI assigned
- Dec 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 120518 | MN | Primary |
| Registered Nurse | 163W00000X | 71435 | NE |
Addresses
Primary practice location
3701 12TH St N Ste 202
Saint Cloud, MN 56303
Mailing address
18034 Queen St NW
Elk River, MN 55330-1662
Phone (308) 765-1072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2207 | MN | MD | Marriage & Family Therapist |
| 71435 | NE | MD | Registered Nurse |
| 120518 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Central Minnesota Anesthesia Providers, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Centracare Clinic Southwest LLC | Current | Accepting new patients |
Locations
14054 Bank St
Becker, MN 55308
Phone (763) 260-8808
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Interoperability endpoints
- thargreaves389437@direct.centracare.com
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Certified Registered Nurse Anesthetist
- Becker, MN
- NPI 1881689974
Nurse Anesthetist, Certified Registered
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
- Certified Registered Nurse Anesthetist
- Cambridge, MN
- NPI 1922402718
Nurse Anesthetist, Certified Registered
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Multi-Specialty Clinic/Center
- Baxter, MN
- NPI 1679025746
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1841351749
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1750897534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18034 QUEEN ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301662",
"telephone_number": "308-765-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 12TH ST N STE 202",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-251-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGREAVES",
"first_name": "TRAVIS",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-16",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "120518",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "71435",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.