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Active NPI 1407247158 Individual Practitioner Male Practitioner

Travis C Konzelman , AGNP

Nurse Practitioner • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Travis Konzelman, AGNP is a registered healthcare professional specializing in Nurse Practitioner in Augusta, GA. Practice services are available at 1350 WALTON WAY under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1350 Walton Way

Augusta, GA 30901

Telephone 7067229011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
111 Specialists

Practicing in Augusta, GA (3149 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
42 42 $935.00 $102.57
99283 Emergency department visit with low level of medical decision making
39 39 $645.00 $60.34
99285 Emergency department visit for life threatening or functioning severity
12 12 $1400.00 $149.69

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN199709

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License GA RN199709

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License GA RN199709

Definition to come...

Clinical Nurse Specialist - Acute Care

NUCC Taxonomy Code: 364SA2100X

State License GA RN199709

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ga License
RN199709 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Jacquline Jeffrey

Respiratory Therapist, Registered - Critical Care

NPI 1053648337
Jenna Carraway , CRNA

Nurse Anesthetist, Certified Registered

NPI 1134902810

Certified Registered Nurse Anesthetist

Alex Yates

Student in an Organized Health Care Education/Training Program

NPI 1144151929
Ashley Carriere

Nurse Practitioner - Family

NPI 1144159930
NPI 1164885570

Doctor of Medicine (M.D.)

Victoria Rodriquez , PA

Physician Assistant

NPI 1194499905

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 28, 2018

Registered at 1350 WALTON WAY, AUGUSTA, GA 30901 (Tel: 7067229011)

👤
Provider Name / Credentials Updated August 28, 2018

Recorded as TRAVIS KONZELMAN, AGNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2018

Nurse Practitioner (License #RN199709 in GA)

NPI Profile Active November 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2015

Registered at 777 HEMLOCK ST, MACON, GA 312012102 (Tel: 4786331007)

📍
Updated Business Mailing Address November 12, 2015

Registered at 2490 RIVERSIDE DR, STE B, MACON, GA 312041787

👤
Provider Name / Credentials Updated November 12, 2015

Recorded as TRAVIS MIDDLETON, AGNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2015

Nurse Practitioner (License #RN199709 in GA)

🟢
Initial NPI Registration & Enumeration February 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407247158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2015
Last Update: August 28, 2018
Sole Proprietor: No

Mailing Address

2490 Riverside Dr, Ste B

Macon, GA 312041787

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.