TRAVIS HENDERSON CRNA
NPI 1093258386
Nurse Anesthetist, Certified Registered in Caldwell, ID

Active since November 18, 2016Accepts Medicare Assignment
1717 ARLINGTON AVE, CALDWELL, ID 83605(208) 459-4641 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Nov 18, 2016 (2 updates tracked since 2016).

About Travis Henderson Crna NPPES

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

TRAVIS HENDERSON CRNA (NPI 1093258386) is an individual nurse anesthetist, certified registered in Caldwell, Idaho, licensed in Idaho (112038) and active in the NPI registry since November 2016. He is affiliated with West Valley Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093258386
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTRAVIS HENDERSONCredential: CRNA
Location Address1717 ARLINGTON AVECaldwell, ID 83605-4802
Mailing Address6452 E Shellbrook DrNampa, ID 83687-4126
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 18, 2016
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1093258386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in ID · 112038
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 41135 (ID)
1717 ARLINGTON AVE, Caldwell, ID 83605

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 Henderson Crna 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 ID4183900012
PECOS Enrollment IDI20170407001395

Hospital Affiliations CMS Care Compare

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

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID
5/5 CMS rating
OwnershipProprietary
CMS Certification Number130014
Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

Nurse Anesthetist, Certified Registered
1717 ARLINGTON AVE
CALDWELL, ID 83605
Emergency Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Nurse Practitioner (Family)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Psychiatry & Neurology (Psychiatry)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Internal Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Family Medicine (Sleep Medicine)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Nurse Anesthetist, Certified Registered
1717 ARLINGTON AVE
CALDWELL, ID 83605
Internal Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605

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 Henderson's NPI number?

The NPI number for Travis Henderson is 1093258386. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Travis Henderson located?

Travis Henderson practices at 1717 Arlington Ave, Caldwell, ID 83605. The listed phone number is (208) 459-4641.

What is Travis Henderson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Travis Henderson enrolled in Medicare?

Yes. Travis Henderson 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.

Is Travis Henderson affiliated with any hospitals?

According to CMS data, Travis Henderson is affiliated with West Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Travis Henderson was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.