LIISA MARIE TRAVIS NP
NPI 1780346072
Nurse Practitioner in Victorville, CA

Active since October 13, 2021PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
12490 BUSINESS CENTER DR STE 100, VICTORVILLE, CA 92395(760) 552-8585 Get Directions Write a Review

NPPES record last updated: September 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2023, Jan 17, 2023, Jul 25, 2022 and 1 more (4 updates tracked since 2021).

About Liisa Marie Travis Np NPPES

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

LIISA MARIE TRAVIS NP (NPI 1780346072) is an individual nurse practitioner in Victorville, California, licensed in California (95019345) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in French Camp, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780346072
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLIISA MARIE TRAVISCredential: NP
Location Address12490 BUSINESS CENTER DR STE 100Victorville, CA 92395-5833
Mailing Address17100b Bear Valley Rd # 283Victorville, CA 92395-5851 · (209) 499-4604
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 13, 2021
Last NPPES UpdateSeptember 10, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2023
NPI 1780346072 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 CA · 95019345
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 ListedRegistered NurseTaxonomy 163W00000X · License 494033 (CA)
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 494033 (CA)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 494033 (CA)
12490 BUSINESS CENTER DR STE 100, Victorville, CA 92395

Secondary Practice Location 1

Location 1500 W Hospital RdFrench Camp, CA 95231-9693 · Phone (209) 468-6000 ext. 7417

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

Liisa Marie Travis Np 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 ID9830584887
PECOS Enrollment IDI20220310000216
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
18 services18 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
14 services14 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
13 services13 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
13 services12 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Other Providers at the Same Location NPPES 6

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

Orthopaedic Surgery
12490 BUSINESS CENTER DR STE 100
VICTORVILLE, CA 92395
Orthopaedic Surgery (Sports Medicine)
12490 BUSINESS CENTER DR STE 100
VICTORVILLE, CA 92395
Nurse Practitioner
12490 BUSINESS CENTER DR STE 100
VICTORVILLE, CA 92395
Orthopaedic Surgery
12490 BUSINESS CENTER DR STE 100
VICTORVILLE, CA 92395
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
12490 BUSINESS CENTER DR STE 100
VICTORVILLE, CA 92395
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
12490 BUSINESS CENTER DR STE 100
VICTORVILLE, CA 92395

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 Liisa Travis's NPI number?

The NPI number for Liisa Travis is 1780346072. It was assigned to this individual provider in the NPPES registry on October 13, 2021.

Where is Liisa Travis located?

Liisa Travis practices at 12490 Business Center Dr Ste 100, Victorville, CA 92395. The listed phone number is (760) 552-8585.

What is Liisa Travis's specialty?

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

Is Liisa Travis enrolled in Medicare?

Yes. Liisa 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.

When was this NPI record last updated?

The NPPES record for Liisa Travis was last updated on September 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.