Travis R Wilburn (NPI# 1770513194, PAC ID# 8527089739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770513194 |
| PAC ID by PECOS | 8527089739 |
| Professional Enrollment ID | I20051215000624 |
| Full Name | Travis R Wilburn |
| Organization Legal Name | SHACKELFORD COUNTY HEALTH CLINIC |
| Address |
450 Kenshalo St Albany TX 76430-3218 |
| Phone Number | 3257623661 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567587330 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450229 | HENDRICK MEDICAL CENTER |
| 450498 | STEPHENS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 450 Kenshalo St, Albany, TX 76430-3218 | 3257623661 | SHACKELFORD COUNTY HEALTH CLINIC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | SHACKELFORD COUNTY HEALTH CLINIC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ray N Gibson | Family Medicine | Shackelford County Health Clinic | 450 Kenshalo St, Albany, TX 76430-3218 |
| Claire G Ware | Nurse Practitioner | Shackelford County Health Clinic | 450 Kenshalo St, Albany, TX 76430-3218 |
| Street Address |
450 KENSHALO ST |
| City | ALBANY |
| State | TX |
| Zip | 76430-3218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ray N Gibson | Family Medicine | Shackelford County Health Clinic | 450 Kenshalo St, Albany, TX 76430-3218 |
| Claire G Ware | Nurse Practitioner | Shackelford County Health Clinic | 450 Kenshalo St, Albany, TX 76430-3218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherron L Torres | Nurse Practitioner | Shackelford County Community Resource Center | 725 Pate St, Albany, TX 76430-3225 |
| Rebecca Ann Schowengerdt | Physician Assistant | Shackelford County Community Resource Center | 725 Pate St, Albany, TX 76430-3225 |
| Shayla R Fine | Nurse Practitioner | Shackelford County Community Resource Center | 725 Pate St, Albany, TX 76430-3225 |
| Michael V Mcgee | Family Medicine | Shackelford County Community Resource Center | 725 Pate St, Albany, TX 76430-3225 |
| City | ALBANY |
| Zip Code | 76430 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALBANY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Travis R Wilburn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.