Individual provider Active NPI

Trevor Koslowski

  • Gerontology Nurse Practitioner
  • Park Falls, WI
National Provider Identifier
1437035110
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
18000 Issued in WI
Practice address
98 Sherry Ave
Park Falls, WI 54552-1467
Phone
(715) 762-2484
NPI assigned
Aug 15, 2025
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 18000 WI Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

98 Sherry Ave
Park Falls, WI 54552-1467

Mailing address

98 Sherry Ave
Park Falls, WI 54552-1412
Phone (715) 762-2484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20260311000514 WI Practitioner - Nurse Practitioner 5395228050 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flambeau Hospital, Inc.Group PAC ID 9032029871, 40 clinicians

Practice addresses (Care Compare)

250 Lawrence Ave
Park Falls, WI 54552-1431
Phone (715) 762-2449

354 Linden St
Park Falls, WI 54552-1483
Phone (844) 305-9248

541 S Lake Ave
Phillips, WI 54555-1410
Phone (715) 339-6201

595 Peterson Dr
Phillips, WI 54555-1418
Phone (715) 339-3113

615 Peterson Ave
Phillips, WI 54555-1452
Phone (715) 339-6284

98 Sherry Ave
Park Falls, WI 54552-1412
Phone (715) 762-2484

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18000WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 2, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 2, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 2, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 2, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 2, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 2, 2026 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 2, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 2, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 2, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 2, 2026 Accepting new patients
Flambeau Hospital Inc Past Accepting new patients

Locations

50 Sherry Ave
Park Falls, WI 54552
Phone (715) 762-3212

98 Sherry Ave
Park Falls, WI 54552
Phone (715) 762-2484

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/

Organizations & group practices 13

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.

View all 13

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1437035110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SHERRY AVE",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521412",
            "telephone_number": "715-762-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SHERRY AVE",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521467",
            "telephone_number": "715-762-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSLOWSKI",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "18000",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "98 Sherry Ave",
            "city": "Park Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545521467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Falls, WI

Sources for this page

Verify at the official NPI Registry.