TRAVIS PETRICK NP
NPI 1255982492
Nurse Practitioner - Acute Care in Sherman Oaks, CA
About Travis Petrick Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS PETRICK NP (NPI 1255982492) is an individual acute care provider in Sherman Oaks, California, licensed in California (95012917) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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 Petrick Np 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Queens Medical Center
Acute Care Hospitals · Honolulu, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Petrick's NPI number?
The NPI number for Travis Petrick is 1255982492. It was assigned to this individual provider in the NPPES registry on September 27, 2019.
Where is Travis Petrick located?
Travis Petrick practices at 15353 Weddington St Apt C107, Sherman Oaks, CA 91411. The listed phone number is (310) 469-1374.
What is Travis Petrick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Travis Petrick enrolled in Medicare?
Yes. Travis Petrick 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 Petrick affiliated with any hospitals?
According to CMS data, Travis Petrick is affiliated with The Queens Medical Center.
When was this NPI record last updated?
The NPPES record for Travis Petrick was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Travis Petrick, NP · NPI 1255982492
Acute Care physician in Sherman Oaks, California. Individual provider, active in the CMS NPPES registry since September 27, 2019.
## Identity
- **NPI:** 1255982492 (Entity type: Individual)
- **Enumerated:** September 27, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95012917 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15353 WEDDINGTON ST APT C107, Sherman Oaks, CA 91411-3844
- **Phone:** (310) 469-1374
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255982492) · Data from the CMS NPPES public registry.