TRAVIS GLENN WHITESIDES PA-C
NPI 1689923732
Physician Assistant - Medical in Burlington, KS
About Travis Glenn Whitesides Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS GLENN WHITESIDES PA-C (NPI 1689923732) is an individual medical provider in Burlington, Kansas, licensed in Kansas (15-01559) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 (PECOS)
Travis Glenn Whitesides Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Whitesides's NPI number?
The NPI number for Travis Whitesides is 1689923732. It was assigned to this individual provider in the NPPES registry on September 5, 2012.
Where is Travis Whitesides located?
Travis Whitesides practices at 309 Sanders St, Burlington, KS 66839. The listed phone number is (620) 364-2121.
What is Travis Whitesides's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Travis Whitesides enrolled in Medicare?
Yes. Travis Whitesides is registered in the Medicare PECOS enrollment system.
What insurance does Travis Whitesides accept?
Health plans from Medica list Travis Whitesides 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 Travis Whitesides was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Travis Glenn Whitesides, PA-C · NPI 1689923732
Medical physician in Burlington, Kansas. Individual provider, active in the CMS NPPES registry since September 5, 2012.
## Identity
- **NPI:** 1689923732 (Entity type: Individual)
- **Enumerated:** September 5, 2012
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 15-01559 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 309 SANDERS ST, Burlington, KS 66839-2616
- **Phone:** (620) 364-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1689923732) · Data from the CMS NPPES public registry.