Individual provider Active NPI

Trevor J Williams, APRN

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1215768445
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031266 Issued in FL
Practice address
6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone
(941) 925-3427
Fax
(888) 927-9784
NPI assigned
Aug 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11031266 FL Primary

Addresses

Primary practice location

6150 Edgelake Dr
Sarasota, FL 34240-8803

Mailing address

PO Box 15527
Sarasota, FL 34277-1527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240928000438 FL Practitioner - Nurse Practitioner 3971034174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida State University College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Chmielewski MD PLLCGroup PAC ID 2668549395, 7 clinicians

Practice addresses (Care Compare)

6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (941) 925-3427

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11031266FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Chmielewski MD PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1215768445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15527",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342771527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 EDGELAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408803",
            "telephone_number": "941-925-3427",
            "fax_number": "888-927-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TREVOR",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.