Individual provider Active NPI

Trent Michael McPherson, PA

  • Medical Physician Assistant
  • Mesquite, TX
National Provider Identifier
1225309966
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9999999 Issued in TX
Practice address
3865 Childress Ave
Suite a
Mesquite, TX 75150-2802
Phone
(972) 681-7246
Fax
(972) 681-1079
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9999999 TX Primary

Addresses

Primary practice location

3865 Childress Ave
Suite a
Mesquite, TX 75150-2802

Mailing address

3865 Childress Ave
Suite a
Mesquite, TX 75150-2802
Phone (972) 681-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120810000532 TX Practitioner - Physician Assistant 0345496071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kikkeri International PAGroup PAC ID 1254359938, 5 clinicians

Practice addresses (Care Compare)

3865 Childress Ave
Suite a
Mesquite, TX 75150-2802

3865 Childress Ave
Suite a
Mesquite, TX 75150-2808
Phone (972) 681-7246

3865 Childress Ave a
Mesquite, TX 75150-2802

3931 Joe Ramsey Blvd E
Suite D
Greenville, TX 75401-7777
Phone (972) 681-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.6 of 100Reported as group
Quality
89.59
Promoting interoperability
99
Improvement activities
40
Cost
73.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9999999TXMDMedical Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1225309966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 CHILDRESS AVE",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502802",
            "telephone_number": "972-681-7246",
            "fax_number": "972-681-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CHILDRESS AVE",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502802",
            "telephone_number": "972-681-7246",
            "fax_number": "972-681-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "TRENT",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "9999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.