Individual provider Active NPI

Trevor McGuffin

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1154001030
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4029415 Issued in KY
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

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231003529 KY Practitioner - Nurse Practitioner 8426585506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Center LLC Psychiatric/Mental Health CurrentSince Dec 18, 2024 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.

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 4 clinicians

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

Verify at the official NPI Registry.