Travis Lane Thibault
NPI 1861990566ActiveIndividual· Nurse Practitioner, Family· De Soto, KS
Nurse Practitioner, Family in De Soto, Kansas, licensed in KS and MO, with an NPI issued in January 2018. 247 Medicare patients in 2024, $24,922 paid; nearly all of their 220 Part D prescriptions were generic (95%).
Overview
| NPI | 1861990566 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 28, 2018 |
| Last updated in NPPES | Jul 27, 2021 |
| Certified by provider | Jul 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 78038 | KS |
| Nurse Practitioner, Family | 363LF0000X | 2018001755 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 292 across 24 procedure codes |
| Paid by Medicare | $24,922 |
Part D prescriptions in 2024
| Prescriptions (claims) | 220 · 220 30-day fills |
|---|---|
| Patients | 151 |
| Total drug cost | $3,050 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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