Trevor Lightner, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008595 Issued in CO

Practice address

3519 Richmond Dr
Fort Collins, CO 80526-5995

Phone

(970) 449-0951

Fax

(970) 823-9004

NPI assigned

Jun 18, 2024

Last updated

Jan 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Fort Collins PCP LLCGroup PAC ID 2567960396, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Fort Collins Medical Center Hospital, Fort Collins, CO, CCN 060126

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Banner Fort Collins PCP LLC

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1831982891
  Medicare reassignment Care Compare group
• VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1275646614
  Medicare reassignment
• Banner Fort Collins PCP LLC

  • Multi-Specialty Clinic/Center
  • Fort Collins, CO
  • NPI 1013707207
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Health

  dba Banner Fort Collins Medical Center

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1659787554
  Care Compare affiliation

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1437992120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 RICHMOND DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265995",
            "telephone_number": "970-449-0951",
            "fax_number": "970-823-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 RICHMOND DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265995",
            "telephone_number": "970-449-0951",
            "fax_number": "970-823-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTNER",
        "first_name": "TREVOR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lighthart
• Lighthouse Christian Counseling
• Lighthouse Christian Counseling, Inc. (Lighthouse Christian Counseling)
• Lighthouse Family Therapy Prof LLC
• Lighthouse Family Therapy Prof LLC (LightHouse WholeHealth Family Center)
• Colleen Lignell, PHARMD
• Louis Liley Jr., D.M.D.
• Joseph Vincent Lillis, M.D.
• Lee Lily
• Meng L Lim, M.D.

• Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.

Verify at the official NPI Registry.