Active NPI
Travis H Preszler, PA-C
- Family Medicine Physician
- Bowdle, SD
National Provider Identifier
1770565764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1170
- Practice address
- 8001 W 5TH Street
PO Box 556
Bowdle, SD 57428-0556 - Phone
- (605) 285-6146
- Fax
- (605) 285-6986
- NPI assigned
- Nov 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1170 | SD | Primary |
Addresses
Primary practice location
8001 W 5TH Street
PO Box 556
Bowdle, SD 57428-0556
Mailing address
PO Box 556
Bowdle, SD 57428-0556
Phone (605) 285-6146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190506002890 | SD | Practitioner - Physician Assistant | 4688756356 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Bowdle Hospital
Practice addresses (Care Compare)
8001 10
Bowdle, SD 57428-0556
8001 W 5TH St
Bowdle, SD 57428-0556
Phone (605) 285-6146
PO Box
Bowdle, SD 57428
Hospital & facility affiliations
- Bowdle Hospital - Cah
- Mobridge Regional Hospital - Cah
- Avera St Lukes
- Bowdle Hospital - Cah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170 | SD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowdle Hospital | Current | Accepting new patients | |
| Bowdle Hospital | Current | Accepting new patients |
Interoperability endpoints
- travis.preszler@avera.sdhealthlink.net
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.
-
- Skilled Nursing Facility
- Bowdle, SD
- NPI 1174610505
-
- Rural Health Clinic/Center
- Bowdle, SD
- NPI 1942395835
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1770565764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 556",
"city": "BOWDLE",
"state": "SD",
"postal_code": "574280556",
"telephone_number": "605-285-6146",
"fax_number": "605-285-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 W 5TH STREET",
"address_2": "PO BOX 556",
"city": "BOWDLE",
"state": "SD",
"postal_code": "574280556",
"telephone_number": "605-285-6146",
"fax_number": "605-285-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESZLER",
"first_name": "TRAVIS",
"middle_name": "H",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "1170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowdle, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.