Individual provider Active NPI

Trevor Fewins, PA-C

  • Physician Assistant
  • McKinney, TX
National Provider Identifier
1003299439
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4201 Medical Center Dr Ste 100
McKinney, TX 75069-1766
Phone
(872) 566-5255
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4201 Medical Center Dr Ste 100
McKinney, TX 75069-1766

Mailing address

3100 Moldboard Dr
McKinney, TX 75071-2268
Phone (707) 334-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170427002264 TX Practitioner - Physician Assistant 7517275522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Joint Institute, PLLCGroup PAC ID 8325206584, 40 clinicians

Practice addresses (Care Compare)

3601 N Calais St
(Baylor Scott and White Surgical Hospital She
Sherman, TX 75090-1785
Phone (903) 870-0999

4201 Medical Ctr Dr
Suite 100
McKinney, TX 75069-1766
Phone (972) 566-5255

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000

4510 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (817) 233-1016

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 488-1000

Hospital & facility affiliations

  • Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1003299439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MOLDBOARD DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712268",
            "telephone_number": "707-334-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691766",
            "telephone_number": "872-566-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEWINS",
        "first_name": "TREVOR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2022-11-09",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.