TRAVIS LEE WACHA FNP-BC, PMHNP-BC
NPI 1104374297
Nurse Practitioner - Psychiatric/Mental Health in Palestine, TX

Q: What is Travis Wacha's NPI number?

The NPI number for Travis Wacha is 1104374297. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Q: What is Travis Wacha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Travis Wacha was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since September 16, 2016PECOS Enrolled

4659 FM 1990, PALESTINE, TX 75801(903) 213-2216(903) 213-9233 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2023, Sep 27, 2022, Feb 10, 2017 and 1 more (4 updates tracked since 2016).

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About Travis Lee Wacha Fnp-bc, Pmhnp-bc NPPES

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

TRAVIS LEE WACHA FNP-BC, PMHNP-BC (NPI 1104374297) is an individual psychiatric/mental health provider in Palestine, Texas, licensed in Texas (AP131990) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104374297

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameTRAVIS LEE WACHACredential: FNP-BC, PMHNP-BC

Location Address4659 FM 1990Palestine, TX 75801-1162

Mailing Address4265 Fm 1990Palestine, TX 75801-1102 · (903) 724-3913

Phone(903) 213-2216

Fax(903) 213-9233

Sole ProprietorNo

Enumeration DateSeptember 16, 2016

Last NPPES UpdateJune 27, 20234 updates tracked since enumeration

NPPES CertifiedJune 27, 2023

✔ NPI 1104374297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · AP131990

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP131990 (TX)

4659 FM 1990, Palestine, TX 75801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Lee Wacha Fnp-bc, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75801 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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

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

DR. RUSSELL C. PACKARD M.D.

Psychiatry & Neurology (Psychiatry)

4659 FM 1990
PALESTINE, TX 75801

Anderson County (903) 213-2216

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 Wacha's NPI number?

The NPI number for Travis Wacha is 1104374297. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Where is Travis Wacha located?

Travis Wacha practices at 4659 Fm 1990, Palestine, TX 75801. The listed phone number is (903) 213-2216.

What is Travis Wacha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Travis Wacha enrolled in Medicare?

Yes. Travis Wacha is registered in the Medicare PECOS enrollment system.

What insurance does Travis Wacha accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Travis Wacha 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.

When was this NPI record last updated?

The NPPES record for Travis Wacha was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.