TRAVIS T. CARLISLE CRNA
NPI 1871734145
Nurse Anesthetist, Certified Registered in Syracuse, NY
About Travis T. Carlisle Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS T. CARLISLE CRNA (NPI 1871734145) is an individual nurse anesthetist, certified registered in Syracuse, New York, licensed in New York (610592) and active in the NPI registry since March 2009. He is affiliated with Lakewood Ranch Medical Center and is a graduate of State University Of New York At Buffalo School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Travis T. Carlisle Crna 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.
Medicare Billing Reassignments
6Medicare enrollment records show Travis Carlisle reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13215
- Reassigned Medicare billing, New York enrollment
- 116 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 132 clinicians in this Medicare group
Fayetteville, NY 13066
- Reassigned Medicare billing, New York enrollment
- 76 clinicians in this Medicare group
Orange Park, FL 32003
- Reassigned Medicare billing, Florida enrollment
- 876 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakewood Ranch Medical Center
Acute Care Hospitals · Bradenton, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SYRACUSE, NY 13215
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 Carlisle's NPI number?
The NPI number for Travis Carlisle is 1871734145. It was assigned to this individual provider in the NPPES registry on March 17, 2009.
Where is Travis Carlisle located?
Travis Carlisle practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5522.
What is Travis Carlisle's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Travis Carlisle enrolled in Medicare?
Yes. Travis Carlisle 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.
Which organizations bill Medicare for Travis Carlisle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Travis Carlisle reassigns Medicare benefits to 6 organizations: Chag Anesthesia PC (Syracuse, NY), Upstate Medical Anesthesiology Group, Inc. (Syracuse, NY), Agcny Physicians PLLC (Fayetteville, NY), Fleming Island Anesthesia LLC (Orange Park, FL), Anesthesia Dynamics LLC (Bradenton, FL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Travis Carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Travis Carlisle affiliated with any hospitals?
According to CMS data, Travis Carlisle is affiliated with Lakewood Ranch Medical Center.
When was this NPI record last updated?
The NPPES record for Travis Carlisle was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 T. Carlisle, CRNA · NPI 1871734145
Nurse Anesthetist, Certified Registered physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since March 17, 2009.
## Identity
- **NPI:** 1871734145 (Entity type: Individual)
- **Enumerated:** March 17, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 610592 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4900 BROAD RD, Syracuse, NY 13215-2265
- **Phone:** (315) 492-5522
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Chag Anesthesia PC (NPI 1740279017, Syracuse, NY); Upstate Medical Anesthesiology Group, Inc. (NPI 1851485759, Syracuse, NY); Agcny Physicians PLLC (NPI 1033497136, Fayetteville, NY); Fleming Island Anesthesia LLC (NPI 1487945895, Orange Park, FL); Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** March 17, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1871734145) · Data from the CMS NPPES public registry.