KATELYNN TRAVER
NPI 1942079678
Physician Assistant in Grapevine, TX

Active since December 21, 2023PECOS EnrolledAccepts Medicare Assignment
2535 IRA E WOODS AVE STE 100, GRAPEVINE, TX 76051(817) 481-2121(817) 488-4493 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katelynn Traver NPPES

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

KATELYNN TRAVER (NPI 1942079678) is an individual physician assistant in Grapevine, Texas and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942079678
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYNN TRAVER
Location Address2535 IRA E WOODS AVE STE 100Grapevine, TX 76051-3930
Mailing Address2535 Ira E Woods Ave Ste 100Grapevine, TX 76051-3930
Fax(817) 488-4493
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1942079678 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.

2535 IRA E WOODS AVE STE 100, Grapevine, TX 76051

Secondary Practice Location 1

Location 14501 Heritage Trace Pkwy Ste 101Fort Worth, TX 76244-8941 · Phone (817) 481-2121 · Fax (817) 488-4493

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

Katelynn Traver 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 ID3375984388
PECOS Enrollment IDI20240508001838
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 76051 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942079678, enumerated as an "individual" on December 21, 2023.

The provider is located at 2535 IRA E WOODS AVE STE 100 GRAPEVINE, TX 76051 and the phone number is (817) 481-2121.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and. Please consult your insurance carrier or call the provider to verify.