Individual provider Active NPI

Renisse Trecia Trillana, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1073978359
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61342922 Issued in WA
Practice address
1580 N Logan St Ste 660
Denver, CO 80203-1994
Phone
(866) 968-3694
Fax
(844) 749-3705
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61342922 WA Primary
Physician Assistant 363A00000X PA.2812 AL

Addresses

Primary practice location

1580 N Logan St Ste 660
Denver, CO 80203-1994

Mailing address

91-1780 Kohanahana Loop
Ewa Beach, HI 96706-7851

Other practice location 1

11216 Sunrise Blvd E Ste 3-207
Puyallup, WA 98374-8848
Phone (253) 841-3933

Other practice location 2

21600 Highway 99 Ste 260
Edmonds, WA 98026-8049
Phone (425) 774-2650 ext. 7246

Other practice location 3

501 N 34th St Ste 101
Seattle, WA 98103-8856
Phone (206) 838-1777

Other practice location 4

7114 W Hood Pl
Kennewick, WA 99336-6712
Phone (509) 734-4885

Other practice location 5

209 Lilly Rd NE Ste B
Olympia, WA 98506-5030
Phone (360) 413-8250

Other practice location 6

11027 Meridian Ave N Ste 100
Seattle, WA 98133-1705
Phone (206) 365-4492

Other practice location 7

11800 NE 128th St Ste 100
Kirkland, WA 98034-7208
Phone (425) 899-4500

Other identifiers 1

IdentifierTypeStateIssuer
2292214MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, HI, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160316000042 NC Practitioner - Physician Assistant 4587960646
I20230216000579 HI Practitioner - Physician Assistant 4587960646 Reassigns benefits to 2 organizations
I20240712003232 WA Practitioner - Physician Assistant 4587960646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians
Mel a Ona M D IncorporatedGroup PAC ID 9335489442, 3 clinicians

Practice addresses (Care Compare)

33915 1St Way S
Suite 200
Federal Way, WA 98003-6396
Phone (253) 838-9839

590 Farrington Hwy
Kapolei, HI 96707-2034
Phone (808) 762-2311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06188NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Gastroenterology PLLC Physician Assistant CurrentSince Jun 27, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jan 28, 2026 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jan 28, 2026 Accepting new patients
Carolina Digestive Health Associates, PA CurrentSince Nov 5, 2023 Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients

Locations

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

33915 1st Way S
Ste 200
Federal Way, WA 98003
Phone (253) 838-9839

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

209 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 413-8250

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

Organizations & group practices 8

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 3

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1073978359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1780 KOHANAHANA LOOP",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967067851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N LOGAN ST STE 660",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031994",
            "telephone_number": "866-968-3694",
            "fax_number": "844-749-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11216 Sunrise Blvd E Ste 3-207",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983748848",
            "country_code": "US",
            "telephone_number": "253-841-3933",
            "fax_number": "253-848-7970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21600 Highway 99 Ste 260",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268049",
            "country_code": "US",
            "telephone_number": "425-774-2650 x7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N 34th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038856",
            "country_code": "US",
            "telephone_number": "206-838-1777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7114 W Hood Pl",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993366712",
            "country_code": "US",
            "telephone_number": "509-734-4885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Lilly Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065030",
            "country_code": "US",
            "telephone_number": "360-413-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11027 Meridian Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981331705",
            "country_code": "US",
            "telephone_number": "206-365-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 NE 128th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980347208",
            "country_code": "US",
            "telephone_number": "425-899-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRILLANA",
        "first_name": "RENISSE TRECIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61342922",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.2812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2292214",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.