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TRAVIS MICHAEL SEDDON NP-C
NPI 1265103006
Nurse Practitioner in West Frankfort, IL

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment
71.44/100
CMS Quality Rating
502 W SAINT LOUIS ST STE 4, WEST FRANKFORT, IL 62896(618) 937-3400(618) 932-9010 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2025, Aug 2, 2024, Jul 6, 2022 and 2 more (5 updates tracked since 2021).

About Travis Michael Seddon Np-c NPPES

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

TRAVIS MICHAEL SEDDON NP-C (NPI 1265103006) is an individual nurse practitioner in West Frankfort, Illinois, licensed in Illinois (209024033) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265103006
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTRAVIS MICHAEL SEDDONCredential: NP-C
Location Address502 W SAINT LOUIS ST STE 4West Frankfort, IL 62896-1968
Mailing AddressPo Box 3988Carbondale, IL 62902-3988
Phone(618) 937-3400
Fax(618) 932-9010
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 22, 2021
Last NPPES UpdateAugust 13, 20255 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1265103006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209024033
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
502 W SAINT LOUIS ST STE 4, West Frankfort, IL 62896
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1405 Rushing DrHerrin, IL 62948-3730 · Phone (618) 993-3300 · Fax (618) 993-0262
Location 22601 W Main StCarbondale, IL 62901-1031 · Phone (618) 549-5361 · Fax (618) 351-4878
Location 3117 E Clark StHarrisburg, IL 62946-2702 · Phone (618) 252-8625 · Fax (618) 351-4859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Travis Michael Seddon Np-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 ID4880084128
PECOS Enrollment IDI20211201001042
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Travis Seddon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Medical Services, Nfp
17 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200
Kidney Disease And Medicine Specialty Consultants LLC
20 mi
Specialist
1350 CEDAR COURT
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1538190129 (618) 529-2955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
98 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
64 services58 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
34 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62896 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.66
Improvement Activities40
Cost62.86

Other Providers at the Same Location NPPES 7

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

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Clinic/Center (Rural Health)
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL 62896
Franklin County (618) 997-3400
SOUTHERN ILLINOIS HOSPITAL SERVICES
Clinic/Center (Radiology)
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL 62896
Franklin County (618) 937-3400
JANALYN ELWOOD NP
Nurse Practitioner
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL 62896
Franklin County (618) 937-3400
ADAM WALLER NP
Nurse Practitioner
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL 62896
Franklin County (618) 937-3400
DAVID MASON PA-C
Physician Assistant
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL 62896
Franklin County (618) 937-3400
AMY STACEY PA
Physician Assistant
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL 62896
Franklin County (618) 937-3400
MR. ROBERT THOMAS DINGA PA-C
Physician Assistant
502 W SAINT LOUIS ST STE 4
WEST FRANKFORT, IL 62896
Franklin County (618) 937-3400

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 Seddon's NPI number?

The NPI number for Travis Seddon is 1265103006. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Travis Seddon located?

Travis Seddon practices at 502 W Saint Louis St Ste 4, West Frankfort, IL 62896. The listed phone number is (618) 937-3400.

What is Travis Seddon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Travis Seddon enrolled in Medicare?

Yes. Travis Seddon 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.

Which organizations bill Medicare for Travis Seddon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Seddon reassigns Medicare benefits to 2 organizations: Southern Illinois Medical Services, Nfp (Carbondale, IL) and Kidney Disease And Medicine Specialty Consultants LLC (Carbondale, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Travis Seddon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Travis Seddon accept?

Health plans from Ambetter Health list Travis Seddon 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 Seddon affiliated with any hospitals?

According to CMS data, Travis Seddon is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center, Franklin Hospital and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Travis Seddon was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.