Individual provider Active NPI

Norman Keith Trevolt, ARNP

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1003811399
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
44097 Issued in KS
Practice address
848 N. St Francis
Ste 3901
Wichita, KS 67214-3858
Phone
(316) 268-8500
Fax
(316) 291-7993
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 44097 KS Primary

Addresses

Primary practice location

848 N. St Francis
Ste 3901
Wichita, KS 67214-3858

Mailing address

848 N. St Francis
Ste 3901
Wichita, KS 67214-3858
Phone (316) 268-8500

Other identifiers 2

IdentifierTypeStateIssuer
100415820EMedicaidKS
100415820AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Via Christi Regional Medical Center Past Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1003811399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N. ST FRANCIS",
            "address_2": "STE 3901",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143858",
            "telephone_number": "316-268-8500",
            "fax_number": "316-291-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N. ST FRANCIS",
            "address_2": "STE 3901",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143858",
            "telephone_number": "316-268-8500",
            "fax_number": "316-291-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVOLT",
        "first_name": "NORMAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100415820E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100415820A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.