Active NPI
Trevor McGuffin
- Psychiatric/Mental Health Nurse Practitioner
- Elizabethtown, KY
National Provider Identifier
1154001030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4029415
- Practice address
- 300 W Dixie Ave Ste 200
Elizabethtown, KY 42701-1704 - Phone
- (270) 982-0853
- Fax
- (270) 982-0866
- NPI assigned
- Jul 24, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4029415 | KY | Primary |
Addresses
Primary practice location
300 W Dixie Ave Ste 200
Elizabethtown, KY 42701-1704
Mailing address
300 W Dixie Ave
Elizabethtown, KY 42701-1704
Phone (270) 982-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241231003529 | KY | Practitioner - Nurse Practitioner | 8426585506 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Wellness Center LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
300 W Dixie Ave
Ste 200
Elizabethtown, KY 42701
Phone (270) 982-0853
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Elizabethtown, KY
- NPI 1306609128
KY, Psychiatric/Mental Health
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Louisville School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Wellness Center, LLC
Practice addresses (Care Compare)
300 W Dixie Ave
Suite 200
Elizabethtown, KY 42701-1704
Phone (270) 982-0855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1154001030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W DIXIE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011704",
"telephone_number": "270-982-0855",
"fax_number": "270-982-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W DIXIE AVE STE 200",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011704",
"telephone_number": "270-982-0853",
"fax_number": "270-982-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUFFIN",
"first_name": "TREVOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-24",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "4029415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.