Individual provider Active NPI

Trevor Warfield, PA-C

  • Physician Assistant
  • Owensboro, KY
National Provider Identifier
1386261089
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2663 Issued in KY
Practice address
2821 New Hartford Rd
Owensboro, KY 42303-1320
Phone
(812) 459-3489
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC934 KY
Physician Assistant 363A00000X PA2663 KY Primary

Addresses

Primary practice location

2821 New Hartford Rd
Owensboro, KY 42303-1320

Mailing address

2821 New Hartford Rd
Owensboro, KY 42303-1320
Phone (270) 685-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200722002841 KY Practitioner - Physician Assistant 1557785672 Reassigns benefits to 1 organization
I20210813002817 IN Practitioner - Physician Assistant 1557785672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Dermatology Associates PSCGroup PAC ID 0547220402, 11 clinicians

Practice addresses (Care Compare)

10788 Stahl Rd
Newburgh, IN 47630-7452
Phone (270) 685-5777

2821 New Hartford Rd
Owensboro, KY 42303-1320
Phone (270) 685-5777

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
81.01
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Laser Surgery Center LLC CurrentSince Dec 12, 2021 Accepting new patients

Locations

10788 Stahl Rd
Newburgh, IN 47630
Phone (270) 685-5777

2821 New Hartford Rd
Owensboro, KY 42303
Phone (270) 685-5777

Organizations & group practices 2

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1386261089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031320",
            "telephone_number": "270-685-5777",
            "fax_number": "270-685-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031320",
            "telephone_number": "812-459-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARFIELD",
        "first_name": "TREVOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC934",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.