CLAIR ANNE TRAVIS PAC
NPI 1609137983
Physician Assistant in Grand Rapids, MI

Active since June 04, 2012PECOS EnrolledAccepts Medicare Assignment
4069 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 267-7499 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Apr 21, 2021, Mar 12, 2021 (3 updates tracked since 2021).

About Clair Anne Travis Pac NPPES

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

CLAIR ANNE TRAVIS PAC (NPI 1609137983) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601006346) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609137983
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCLAIR ANNE TRAVISCredential: PAC
Location Address4069 LAKE DR SEGrand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 4, 2012
Last NPPES UpdateMay 1, 20233 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
NPI 1609137983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006346
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4069 LAKE DR SE, Grand Rapids, MI 49546

Other Names 1

Former Name (1)Clair Anne Cooper Pac

Accepted Insurance

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

Clair Anne Travis Pac 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 ID9830345297
PECOS Enrollment IDI20120820000122
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 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Surgery (Vascular Surgery)
4069 LAKE DR SE, S-312
GRAND RAPIDS, MI 49546
Durable Medical Equipment & Medical Supplies
4069 LAKE DR SE, SUITE 315
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Dietitian, Registered
4069 LAKE DR SE, STE. 315
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Family Medicine
4069 LAKE DR SE
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE
GRAND RAPIDS, MI 49546

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 Clair Travis's NPI number?

The NPI number for Clair Travis is 1609137983. It was assigned to this individual provider in the NPPES registry on June 4, 2012. The provider is also known as Clair Anne Cooper Pac.

Where is Clair Travis located?

Clair Travis practices at 4069 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7499.

What is Clair Travis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Clair Travis enrolled in Medicare?

Yes. Clair Travis 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.

What insurance does Clair Travis accept?

Health plans from McLaren Health Plan Community and Priority Health list Clair Travis 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.

When was this NPI record last updated?

The NPPES record for Clair Travis was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.