Active NPI
Travis Turnage
- Physician Assistant
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2021050360
- Practice address
- 603 S Bishop Ave
Rolla, MO 65401-4320 - Phone
- (573) 426-4411
- Fax
- (573) 426-4403
- NPI assigned
- Dec 23, 2021
- Last updated
- Aug 8, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2021050360 | MO | Primary |
Addresses
Primary practice location
603 S Bishop Ave
Rolla, MO 65401-4320
Mailing address
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
Other practice location 1
1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 842-4116
Other practice location 2
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021050360 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients |
Locations
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
603 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-4411
603 S Bishop Ave
Ste C
Rolla, MO 65401
Phone (573) 364-9000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Phelps Health Medical Group Rolla
- Clinic/Center
- Rolla, MO
- NPI 1124237227
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Salem, MO
- NPI 1194077701
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Rolla, MO
- NPI 1366066037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1780344283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-364-9000",
"fax_number": "573-426-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S BISHOP AVE",
"city": "ROLLA",
"state": "MO",
"postal_code": "654014320",
"telephone_number": "573-426-4411",
"fax_number": "573-426-4403"
}
],
"practiceLocations": [
{
"address_1": "1000 Gw Ln",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "MO",
"postal_code": "655832339",
"country_code": "US",
"telephone_number": "573-842-4116",
"fax_number": "573-433-2008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W 10th St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012905",
"country_code": "US",
"telephone_number": "573-458-8899",
"fax_number": "573-341-5611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TURNAGE",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-23",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2021050360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.