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MR. TRAVIS C KONZELMAN AGNP
NPI 1407247158
Nurse Practitioner in Augusta, GA

Active since February 16, 2015PECOS Enrolled
1350 WALTON WAY, AUGUSTA, GA 30901(706) 722-9011 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2018, Nov 12, 2015 (2 updates tracked since 2015).

About Mr. Travis C Konzelman Agnp NPPES

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

MR. TRAVIS C KONZELMAN AGNP (NPI 1407247158) is an individual nurse practitioner in Augusta, Georgia, licensed in Georgia (RN199709) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407247158
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. TRAVIS C KONZELMANCredential: AGNP
Location Address1350 WALTON WAYAugusta, GA 30901
Mailing Address2490 Riverside Dr, Ste BMacon, GA 31204-1787
Phone(706) 722-9011
Sole ProprietorNo
Enumeration DateFebruary 16, 2015
Last NPPES UpdateAugust 28, 20182 updates tracked since enumeration
✔ NPI 1407247158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN199709
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.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN199709 (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN199709 (GA)
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License RN199709 (GA)
1350 WALTON WAY, Augusta, GA 30901
Open in Google Maps ↗

Other Identifiers 1

OtherRN199709GA · Ga License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Travis C Konzelman Agnp 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.

Medicare Billing Reassignments

2

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

Georgia Em-I Medical Services, PC
2.1 mi
Emergency Medicine
2260 WRIGHTSBORO RD
Augusta, GA 30904
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
NPI 1952673006 (706) 481-7000
Med Now Urgent Care, LLC
9.6 mi
Urgent Care
104 N BELAIR RD SUITE 101
Evans, GA 30809
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
NPI 1245475771 (706) 922-3669

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

ENOCH BUSULWA LULE M.D.
Internal Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5542
DR. MARY TANEOUS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
PRIYA DHARSHINI RAVINDRAN MD
Internal Medicine (Gastroenterology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5795
DR. KAILASH B SHARMA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
MICHEL TANIOS M.D.
Internal Medicine
1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901
Richmond County (706) 774-7263
FLYNT STEBBINS CONNOR M.S., CCC-SLP
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
LAURA ENZ
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
CANDACE M CURTIS MD
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 737-6950

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 Konzelman's NPI number?

The NPI number for Travis Konzelman is 1407247158. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Travis Konzelman located?

Travis Konzelman practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 722-9011.

What is Travis Konzelman's specialty?

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

Is Travis Konzelman enrolled in Medicare?

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

Which organizations bill Medicare for Travis Konzelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Konzelman reassigns Medicare benefits to 2 organizations: Georgia Em-I Medical Services, PC (Augusta, GA) and Med Now Urgent Care, LLC (Evans, GA). 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 Konzelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Travis Konzelman was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.