Trent Link, FNP
Individual provider Active NPI Nurse Practitioner · Brunswick, MO
NPI 1154779866 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1154779866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2016003718 (MO)
- Practice address
- 807 E Broadway St
Brunswick, MO 65236-1408 - Phone
- (660) 548-2012
- Fax
- (660) 548-2014
- NPI assigned
- Jun 3, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson Medical Group
Practice addresses (Care Compare)
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695
Hospital & facility affiliations
- Elara Caring
- Carroll County Memorial Hospital
- Moberly Regional Medical Center
- Fitzgibbon Hospital
- Pershing Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160705001588 | MO | Practitioner - Nurse Practitioner | 6305138793 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016003718 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Medical Group | Current |
Accepting new patients | |
| Carroll County Memorial Hospital | Current |
Accepting new patients | |
| Southeastern Emergency Services of Memphis, P.C. | Nurse Practitioner | Current |
Accepting new patients |
| John Fitzgibbon Memorial Hospital Inc. | Current |
Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Jefferson Medical Group | Current |
Accepting new patients |
Locations
807 E Broadway St
Brunswick, MO 65236
Phone (660) 542-1695
1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
221 Elm St
Hale, MO 64643
Phone (660) 542-1695
2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730
Interoperability endpoints
- ccmhhimdept@ccmhospital.cernerdirect.com
- trentlink@ccmhospital.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2016003718 | MO | Yes |
Addresses
Primary practice location
807 E Broadway St
Brunswick, MO 65236-1408
Mailing address
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695
Other practice location 1
2305 South 65 Highway
Marshall, MO 65340
Phone (660) 886-7431
Other practice location 2
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695
Other practice location 3
221 Elm St
Hale, MO 64643-7113
Phone (660) 542-1695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420032761 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CCMHHIMDept@ccmhospital.cernerdirect.com | Direct |
Other providers in Brunswick, MO
- Jefferson Medical Group
- John Fitzgibbon Memorial Hospital, Inc.
- Jukeco Enterprises LLC
- Margaret J Larson
- Lightning Creek Investment Group,Inc
- Nancy J Lock
- Paige McHugh
- Lindsay Dyan Meyer
- Sandra L. Moser
- Brooke Nicole Schreckhise
All providers in Brunswick, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.