Travis J Sullivan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in West Allis, WI

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Travis J Sullivan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in West Allis, Wisconsin. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Agnesian Healthcare Inc, Association Of Hospital Anesthesiologists Sc and his current practice location is 8901 W Lincoln Ave, West Allis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 328-6000.

Travis J Sullivan is licensed to practice in Wisconsin (license number 5084) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881950350.

Contact Information

Travis J Sullivan, CRNA
8901 W Lincoln Ave,
West Allis, WI 53227-2409
(414) 328-6000
Not Available

Map and Direction




Provider's Profile

Full NameTravis J Sullivan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location8901 W Lincoln Ave, West Allis, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Travis J Sullivan graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1881950350
  • Provider Enumeration Date: 04/09/2012
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335395219
  • Enrollment ID: I20120808000638

Medical Identifiers

Medical identifiers for Travis J Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881950350NPI-NPPES
100023698MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 160832-30 (Wisconsin)Secondary
367500000XNurse Anesthetist, Certified Registered 5084 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ripon Medical CenterRipon, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624335
Association Of Hospital Anesthesiologists Sc347653987572

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Travis J Sullivan allows following entities to bill medicare on his behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAssociation Of Hospital Anesthesiologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720076474
PECOS PAC ID: 3476539875
Enrollment ID: O20050719001050
Entity NameRacine Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467782748
PECOS PAC ID: 8628103777
Enrollment ID: O20100316000106

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis J Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Travis J Sullivan, CRNA
Po Box 735044,
Chicago, IL 60673-5044

Ph: (414) 328-6000		Travis J Sullivan, CRNA
8901 W Lincoln Ave,
West Allis, WI 53227-2409

Ph: (414) 328-6000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in West Allis, WI

Thomas J Kavanaugh, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 8901 W. Lincoln Ave, Aurora West Allis Medical Center, West Allis, WI 53227
Phone: 414-328-6000    Fax: 414-328-8536
Jessica Lynn Lewis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-7200    
Jacqueline J Nelson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-7200    
Michelle Ann Depa,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-7200    Fax: 414-328-8158
Emily M Nieman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-6000    
Tara L Alauf, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-283-6000    Fax: 414-649-1328
Christine M Waller, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.