Individual provider Active NPI

Travis Osborne, CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1992190284
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1134 Issued in AZ
Practice address
1402 Homespun Rd
Austin, TX 78745-3041
Phone
(512) 924-1858
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X MSL257722NC NC
Certified Registered Nurse Anesthetist 367500000X CRNA1134 AZ Primary

Addresses

Primary practice location

1402 Homespun Rd
Austin, TX 78745-3041

Mailing address

3809 Valley View Rd BLDG 5
Austin, TX 78704-3375
Phone (512) 924-1858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160706002538 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658684154 Reassigns benefits to 2 organizations
I20221007000470 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658684154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Duke University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celebrity Anesthesia PLLCGroup PAC ID 8325467608, 23 clinicians

Practice addresses (Care Compare)

5329 Serene Hills Dr
Suite 100
Austin, TX 78738-1257
Phone (512) 593-1945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
MSL257722NCNCMDRegistered Nurse
CRNA1134AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Celebrity Anesthesia PLLC CurrentSince Sep 1, 2020 Accepting new patients
Celebrity Anesthesia Staffing LLC CurrentSince Jan 12, 2021 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

1179 East Paris Ave SE
Ste E200
Grand Rapids, MI 49546
Phone (616) 975-9100

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

5329 Serene Hills Dr
Ste 100
Lakeway, TX 78738
Phone (512) 357-8220

717 Generations Dr
Ste A
New Braunfels, TX 78130
Phone (512) 593-1945

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1992190284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 VALLEY VIEW RD BLDG 5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043375",
            "telephone_number": "512-924-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 HOMESPUN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453041",
            "telephone_number": "512-924-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "TRAVIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "MSL257722NC",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.

Verify at the official NPI Registry.