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

Q: 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.

Q: What is Travis Konzelman's specialty?

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

Q: 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 7 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 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: August 09, 2026.

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

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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

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Other Identifiers 1

OtherRN199709GA · Ga License

Medicare Participation & PECOS CMS

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

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.

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.

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 7 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.