Travis Lee Taylor, FNP-C, CRNFA
NPI 1255597811ActiveIndividual· Nurse Practitioner, Family· Ponderay, ID
Nurse Practitioner, Family (FNP-C, CRNFA) with Michael R Dibenedetto MD PLLC, practicing in Ponderay, Idaho. 84 Medicare patients in 2024, $10,514 paid; nearly all of their 94 Part D prescriptions were generic (98%). Lists Bonner General Hospital as a hospital affiliation.
Overview
| NPI | 1255597811 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C, CRNFA |
| Sole proprietor | Yes |
| NPI issued | Aug 4, 2008 |
| Last updated in NPPES | Jul 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | NP-1376A | ID |
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | N-37973 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 210 across 41 procedure codes |
| Paid by Medicare | $10,514 |
Part D prescriptions in 2024
| Prescriptions (claims) | 94 · 99 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $810.35 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Michael R Dibenedetto MD PLLCPonderay, ID · 9 clinicians
Hospital affiliation
- Bonner General HospitalSandpoint, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Ponderay
- 1821003708
- 1932758083