TRAVIS NEWSOM FNP-C
NPI 1053093336
Nurse Practitioner - Family in Pocatello, ID

Active since August 04, 2023PECOS EnrolledAccepts Medicare Assignment
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-1750 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Travis Newsom Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS NEWSOM FNP-C (NPI 1053093336) is an individual family provider in Pocatello, Idaho, licensed in Idaho (55918) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053093336
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTRAVIS NEWSOMCredential: FNP-C
Location Address777 HOSPITAL WAYPocatello, ID 83201
Mailing Address777 Hospital WayPocatello, ID 83201 · (208) 239-1750
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
NPI 1053093336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · 55918
777 HOSPITAL WAY, Pocatello, ID 83201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Travis Newsom Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971966433
PECOS Enrollment IDI20230830003919
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
133 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
132 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services56 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Newsom's NPI number?

The NPI number for Travis Newsom is 1053093336. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Where is Travis Newsom located?

Travis Newsom practices at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-1750.

What is Travis Newsom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Travis Newsom enrolled in Medicare?

Yes. Travis Newsom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Travis Newsom accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Travis Newsom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Travis Newsom affiliated with any hospitals?

According to CMS data, Travis Newsom is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Travis Newsom was last updated on August 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.