Trevor Patience, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6519 Issued in AZ

Practice address

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916

Phone

(480) 467-2273

NPI assigned

Oct 12, 2016

Sex

Male

Sole proprietor

No

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.

• Canyon Pain and Spine

  • Pain Medicine Physician
  • Mesa, AZ
  • NPI 1518547769

  AZ

  Medicare reassignment Care Compare group NPD
• Flagstaff Pain & Treatment Center

  • Pain Medicine (Anesthesiology) Physician
  • Flagstaff, AZ
  • NPI 1073127858

  AZ

  Medicare reassignment
• Phoenician Pain & Rehabilitation Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chandler, AZ
  • NPI 1780913483

  AZ

  Medicare reassignment
• Canyon Pain and Spine

  • Interventional Pain Medicine Physician
  • Glendale, AZ
  • NPI 1104590512
  Care Compare group
• Canyon Pain and Spine

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1144076829
  Care Compare group
• Canyon Pain and Spine

  • Durable Medical Equipment & Medical Supplies
  • Buckeye, AZ
  • NPI 1467292938
  Care Compare group
• Canyon Pain and Spine

  • Interventional Pain Medicine Physician
  • Mesa, AZ
  • NPI 1770257180
  Care Compare group
• Canyon Pain and Spine

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
  • NPI 1801574785
  Care Compare group
• Canyon Pain and Spine

  • Durable Medical Equipment & Medical Supplies
  • Gilbert, AZ
  • NPI 1962180844
  Care Compare group

Specialty

Physician Assistant

Education

Texas Tech University Health Science Center School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Canyon Pain and Spine 17 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGJDCD/Endpoint/DGJDCD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2021.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1093265183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142916",
            "telephone_number": "480-467-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142916",
            "telephone_number": "480-467-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIENCE",
        "first_name": "TREVOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trevor.patience@envisionhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1277 E Missouri Ave Ste 102",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850142916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pathway Youth and Family Services LLC
• Pathways Assisted Living LLC
• Pathways to Recovery LLC
• Pathways to Resilience. LLC
• Sushmitha Patibandla, M.D.
• Patient Flight LLC
• Patient Hands Senior Living, LLC
• Patientcare, Inc.
• Smita Patil Mehta, MD
• Avinash Shivaputrappa Patil, MD

• All providers in Phoenix, AZ
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.