NPIMap

Individual provider Active NPI

Trent Link, FNP

  • Nurse Practitioner
  • Brunswick, MO
National Provider Identifier
1154779866
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2016003718 Issued in MO
Practice address
807 E Broadway St
Brunswick, MO 65236-1408
Phone
(660) 548-2012
Fax
(660) 548-2014
NPI assigned
Jun 3, 2016
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2016003718 MO Primary

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 1

IdentifierTypeStateIssuer
420032761MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CCMHHIMDept@ccmhospital.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705001588 MO Practitioner - Nurse Practitioner 6305138793 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Medical GroupGroup PAC ID 6800894379, 10 clinicians

Practice addresses (Care Compare)

1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-1695

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016003718MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
Jefferson Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Apr 27, 2022 Accepting new patients
Jefferson Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Carroll County Memorial Hospital CurrentSince Feb 1, 2021 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. CurrentSince May 21, 2016 Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince May 21, 2016 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

  • Direct secure messaging: ccmhhimdept@ccmhospital.cernerdirect.com
  • Direct secure messaging: trentlink@ccmhospital.cernerdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1154779866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N JEFFERSON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331948",
            "telephone_number": "660-542-1695",
            "fax_number": "660-542-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E BROADWAY ST",
            "city": "BRUNSWICK",
            "state": "MO",
            "postal_code": "652361408",
            "telephone_number": "660-548-2012",
            "fax_number": "660-548-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 South 65 Highway",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "65340",
            "country_code": "US",
            "telephone_number": "660-886-7431",
            "fax_number": "660-886-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1502 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "MO",
            "postal_code": "646331948",
            "country_code": "US",
            "telephone_number": "660-542-1695",
            "fax_number": "660-542-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Elm St",
            "address_purpose": "LOCATION",
            "city": "Hale",
            "state": "MO",
            "postal_code": "646437113",
            "country_code": "US",
            "telephone_number": "660-542-1695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINK",
        "first_name": "TRENT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016003718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420032761",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CCMHHIMDept@ccmhospital.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1502 N Jefferson St",
            "city": "Carrollton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "646331948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, MO

Sources for this page

Verify at the official NPI Registry.