TRAVIS RAY EVANS FNP
NPI 1861742702
Nurse Practitioner - Family in Blackfoot, ID

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since September 19, 2012PECOS EnrolledAccepts Medicare Assignment

98 POPLAR ST, BLACKFOOT, ID 83221(208) 782-3700 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Travis Ray Evans Fnp NPPES

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

TRAVIS RAY EVANS FNP (NPI 1861742702) is an individual family provider in Blackfoot, Idaho, licensed in Idaho (NP-1193A) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861742702

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTRAVIS RAY EVANSCredential: FNP

Location Address98 POPLAR STBlackfoot, ID 83221-1758

Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 782-3700

Phone(208) 782-3700

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 19, 2012

Last NPPES UpdateJune 6, 2022

NPPES CertifiedJune 6, 2022

✔ NPI 1861742702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · NP-1193A

98 POPLAR ST, Blackfoot, ID 83221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.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 Ray Evans Fnp 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 ID2062664683

PECOS Enrollment IDI20130620000322

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131325

Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

DR. WADE H FLOWERS JR. PHARM.D., BCPS, CGP

Pharmacist (Pharmacotherapy)