MR. TRAVIS ANDREW FUENTES FNP-BC
NPI 1477433779
Nurse Practitioner in Coppell, TX

Active since September 05, 2025PECOS EnrolledAccepts Medicare Assignment
645 E STATE HIGHWAY 121 STE 600, COPPELL, TX 75019(972) 745-7500 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Travis Andrew Fuentes Fnp-bc NPPES

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

MR. TRAVIS ANDREW FUENTES FNP-BC (NPI 1477433779) is an individual nurse practitioner in Coppell, Texas, licensed in Texas (1008233) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477433779
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. TRAVIS ANDREW FUENTESCredential: FNP-BC
Location Address645 E STATE HIGHWAY 121 STE 600Coppell, TX 75019-7942
Mailing Address725 Segundo DrRunaway Bay, TX 76426-4513 · (940) 393-3814
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
NPI 1477433779 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 TX · 1008233
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.
645 E STATE HIGHWAY 121 STE 600, Coppell, TX 75019

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

Mr. Travis Andrew Fuentes Fnp-bc 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 ID1254820434
PECOS Enrollment IDI20251028003770
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 75019 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 8

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

Preventive Medicine (Occupational Medicine)
645 E STATE HIGHWAY 121 STE 600
COPPELL, TX 75019
Family Medicine
645 E STATE HIGHWAY 121 STE 600
COPPELL, TX 75019
Family Medicine
645 E STATE HIGHWAY 121 STE 600
COPPELL, TX 75019
Family Medicine
645 E STATE HIGHWAY 121 STE 600
COPPELL, TX 75019
Clinic/Center (Urgent Care)
645 E STATE HIGHWAY 121 STE 600
COPPELL, TX 75019
Family Medicine
645 E STATE HIGHWAY 121 STE 600
COPPELL, TX 75019
Pediatrics
645 E STATE HIGHWAY 121 STE 600
COPPELL, TX 75019
Physician Assistant
645 E STATE HIGHWAY 121 STE 600
COPPELL, TX 75019

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 Fuentes's NPI number?

The NPI number for Travis Fuentes is 1477433779. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Travis Fuentes located?

Travis Fuentes practices at 645 E State Highway 121 Ste 600, Coppell, TX 75019. The listed phone number is (972) 745-7500.

What is Travis Fuentes's specialty?

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

Is Travis Fuentes enrolled in Medicare?

Yes. Travis Fuentes 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.

When was this NPI record last updated?

The NPPES record for Travis Fuentes was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.