TRAVIS BRAULT P.A.-C
NPI 1841641859
Physician Assistant in Mesa, AZ

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment
1111 S STAPLEY DR, MESA, AZ 85204(602) 302-7900 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 18, 2017, Nov 23, 2016 and 1 more (4 updates tracked since 2016).

About Travis Brault P.a.-c NPPES

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

TRAVIS BRAULT P.A.-C (NPI 1841641859) is an individual physician assistant in Mesa, Arizona and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1841641859
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTRAVIS BRAULTCredential: P.A.-C
Location Address1111 S STAPLEY DRMesa, AZ 85204-5059
Mailing Address1111 S Stapley DrMesa, AZ 85204-5059 · (602) 302-7900
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 30, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1841641859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1111 S STAPLEY DR, Mesa, AZ 85204

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

Travis Brault P.a.-c 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 ID1254613565
PECOS Enrollment IDI20170123000478
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 85204 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Social Worker (Clinical)
1111 S STAPLEY DR
MESA, AZ 85204
Nurse Practitioner (Family)
1111 S STAPLEY DR
MESA, AZ 85204
Specialist
1111 S STAPLEY DR, SUITE 111
MESA, AZ 85204
Social Worker (Clinical)
1111 S STAPLEY DR
MESA, AZ 85204
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204

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 Brault's NPI number?

The NPI number for Travis Brault is 1841641859. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Travis Brault located?

Travis Brault practices at 1111 S Stapley Dr, Mesa, AZ 85204. The listed phone number is (602) 302-7900.

What is Travis Brault's specialty?

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

Is Travis Brault enrolled in Medicare?

Yes. Travis Brault 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 Travis Brault accept?

Health plans from Blue Cross Blue Shield of Arizona list Travis Brault 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 Brault was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.