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JESSICA RUTH TRAVIS CPNP
NPI 1417318155
Nurse Practitioner - Pediatrics in Washington, DC

Active since March 08, 2016PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-3517(202) 476-2490 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jessica Ruth Travis Cpnp NPPES

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

JESSICA RUTH TRAVIS CPNP (NPI 1417318155) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1039813) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stafford.

NPPES Registry Identity

NPI1417318155
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA RUTH TRAVISCredential: CPNP
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address511 1/2 6th St SeWashington, DC 20003-2706 · (201) 835-3387
Phone(202) 476-3517
Fax(202) 476-2490
Sole ProprietorNo
Enumeration DateMarch 8, 2016
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1417318155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in DC · RN1039813✔ Licensed in VA · 0024173380
111 MICHIGAN AVE NW, Washington, DC 20010
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Other Names 1

Former Name (1)Jessica Ruth Johnson

Secondary Practice Location 1

Location 1110 Soaring Eagle DrStafford, VA 22556-3903 · Phone (540) 720-2126

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Ruth Travis Cpnp 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 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

DR. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

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 Jessica Travis's NPI number?

The NPI number for Jessica Travis is 1417318155. It was assigned to this individual provider in the NPPES registry on March 8, 2016. The provider is also known as Jessica Ruth Johnson.

Where is Jessica Travis located?

Jessica Travis practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-3517.

What is Jessica Travis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Travis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Travis was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.