Travis Squyres, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP132157 Issued in TX

Practice address

2737 S Broadway Ave
Tyler, TX 75701

Phone

(903) 592-6000

Fax

(903) 592-3224

NPI assigned

Oct 21, 2016

Last updated

Oct 19, 2023By 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 TX

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles R Gordon MD PAGroup PAC ID 8729992052, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: travis.squyres.p1@direct.precisionspinecare.nextgenshare.com

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.

• Charles R Gordon MD PA

  dba Precision Spine Care

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1982717955
  Medicare reassignment Care Compare group
• Advanced Health Center PLLC

  • Integrative Medicine Physician
  • Tyler, TX
  • NPI 1760128995
  Medicare reassignment NPD

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1871044115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WSW LOOP 323 STE 60",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017059",
            "telephone_number": "903-526-4875",
            "fax_number": "903-526-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-592-6000",
            "fax_number": "903-592-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Erwin St Ste B",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757027227",
            "country_code": "US",
            "telephone_number": "903-520-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Wsw Loop 323 Ste 60",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757017059",
            "country_code": "US",
            "telephone_number": "903-526-4875",
            "fax_number": "903-526-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUYRES",
        "first_name": "TRAVIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kallina Spivey
• Shalon Sprague
• Jayden Springs
• Amy C Sproles, P.A.-C
• Rachel Renee Spurgeon, LPC
• SS Tyler LP (QVL Pharmacy 102)
• Francis Ssali, M.D
• St Joseph Counseling & Rehabilitation Services, Inc
• St. Giles Living Centers, Inc. (2812 Shaffer Lane)
• St. Giles Living Centers, Inc. (2616 Pounds Avenue)

• Family Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.