Individual provider Active NPI

Trevor Dylan Whipker

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1326513268
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08181163 Issued in IN
Practice address
4010 W Goeller Blvd Ste a
Columbus, IN 47201-8312
Phone
(812) 964-5056
Fax
(888) 571-6064
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 F08181163 IN Primary

Addresses

Primary practice location

4010 W Goeller Blvd Ste a
Columbus, IN 47201-8312

Mailing address

6047 Chinkapin Dr
Columbus, IN 47201-8447
Phone (812) 374-8389

Other names 1

  • Trevor Dylan Haza Whipker Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twhipker11848@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181109000925 IN Practitioner - Nurse Practitioner 4688928666 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1202 E Tipton St
Seymour, IN 47274-3540
Phone (812) 672-4933

4152 W State Rd
Suite 56
Hanover, IN 47243-9070
Phone (901) 351-1791

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08181163INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Pic Indiana PC CurrentSince Apr 29, 2024 Accepting new patients
FC Indiana, LLC CurrentSince May 18, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
FC Indiana, LLC CurrentSince May 18, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617

1159 W Jefferson St
Ste 204
Franklin, IN 46131

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

Interoperability endpoints

  • Direct secure messaging: trevor.whipker.2@14940.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1326513268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 CHINKAPIN DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018447",
            "telephone_number": "812-374-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W GOELLER BLVD STE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018312",
            "telephone_number": "812-964-5056",
            "fax_number": "888-571-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPKER",
        "first_name": "TREVOR",
        "middle_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F08181163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twhipker11848@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2502 25th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472013728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TREVOR",
            "last_name": "HAZA WHIPKER",
            "middle_name": "DYLAN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.