Active NPI
Trevor Austin Gates, APRN, FNP-C
- Family Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09305
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503-2621 - Phone
- (337) 243-1690
- Fax
- (337) 205-6132
- NPI assigned
- May 26, 2017
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09305 | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F05170617 | Other | LA | AANP BOARD CERTIFICATION |
| AP09305 | Other | LA | APRN LICENSURE |
| 049985 | Other | LA | CDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS, TN, AZ, TX, CO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
West Memphis, AR 72301
Phone (985) 892-7070
Orange, TX 77630
Phone (985) 892-7070
Lone Tree, CO 80124
Phone (985) 892-7070
1302 44TH Ave
Gulfport, MS 39501-2552
Phone (985) 892-7070
1458 W Poplar Ave
Suite 200
Collierville, TN 38017-0631
Phone (985) 892-7070
20050 Crestwood Blvd
Covington, LA 70433-5207
Phone (985) 892-7070
211 4TH St
Alexandria, LA 71301-8421
Phone (985) 892-7070
401 N College Rd
Suite 2
Lafayette, LA 70506-4263
Phone (985) 892-7070
4720 S I 10 Service Rd W
206 Medcentris of Tulane Lakeside
Metairie, LA 70001-1240
Phone (985) 892-7070
4809 Wichers Dr
Marrero, LA 70072-3026
Phone (504) 595-3610
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.56 of 100
- Quality
- 43.22
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 31.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09305 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Associates LLC | Current | Accepting new patients | |
| Collierville Orthopedics and | Past | Accepting new patients | |
| Perfusion Vascular Vidalia LLC | Past | Accepting new patients | |
| Happy Minds LLC | Past | Accepting new patients |
Locations
200 S Rhodes St
Ste E
West Memphis, AR 72301
Phone (870) 629-5095
9220 Teddy Ln
Ste 1600
Lone Tree, CO 80124
Phone (303) 305-7785
211 4th St
Ste 1B
Alexandria, LA 71301
Phone (318) 545-0655
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008
1810 EE Wallace Blvd N
Ste 2
Ferriday, LA 71334
Phone (318) 232-6839
16065 Lamonte Dr
Hammond, LA 70403
Phone (855) 432-5328
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
201 W Gloria Switch Rd
Ste I
Lafayette, LA 70507
Phone (337) 412-7324
4239 Highway 1192
Ste 100
Marksville, LA 71351
Phone (318) 253-0866
1281 Lamy Ln
Ste 110
Monroe, LA 71201
Phone (318) 374-7370
115 Hospital Dr
Oakdale, LA 71463
Phone (318) 228-2415
1302 44th Ave
Gulfport, MS 39501
Phone (228) 687-8235
431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440
401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270
1458 W Poplar Ave
Ste 200
Collierville, TN 38017
Phone (901) 472-2935
2028 W Poplar Ave
Ste 115
Collierville, TN 38017
Phone (901) 221-8983
1008 Green Ave
Ofc B
Orange, TX 77630
Phone (409) 204-4882
Interoperability endpoints
- https://api.platform.athenahealth.com/2699/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba MedCentris Specialty Group
- Specialist
- Hammond, LA
- NPI 1568793750
AR, CO, MS, TN, TX
-
- Vascular Surgery Physician
- Vidalia, LA
- NPI 1356875637
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Collierville, TN
- NPI 1003855420
-
- Psychiatry Physician
- Lone Tree, CO
- NPI 1508246943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1407384068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1089",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704041089",
"telephone_number": "985-892-7070",
"fax_number": "985-892-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032621",
"telephone_number": "337-243-1690",
"fax_number": "337-205-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "TREVOR",
"middle_name": "AUSTIN",
"name_prefix": "Mr.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-26",
"last_updated": "2023-03-07",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP BOARD CERTIFICATION",
"identifier": "F05170617",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSURE",
"identifier": "AP09305",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "049985",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Gastroenterology Associates of Acadiana, LLC
- Gastroenterology Center of Louisiana, Inc.
- Gastroenterology Clinic of Acadiana (GCA Infusion and Pharmaceutical)
- Gastroenterology Clinic of Acadiana LLC
- Gastroenterology Clinics of Louisiana (Gastro Louisiana)
- Mary S Gathe, LCSW
- Joan G Gatte, APRN
- Reynold Louis Gaubert Jr., DMD
- Pratima Gaulee, M.D
- Chakshu Gautam, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.