Active NPI
Norman Keith Trevolt, ARNP
- Nurse Practitioner
- Wichita, KS
National Provider Identifier
1003811399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 44097
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100415820E | Medicaid | KS | |
| 100415820A | Medicaid | KS |
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
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1871589333
-
- Neurology Physician
- Wichita, KS
- NPI 1679569800
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.