Trevor Stanley

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0009551 Issued in CO

Practice address

11900 Grant St Ste 360
Northglenn, CO 80233-1117

Phone

(303) 604-5000

NPI assigned

Jul 18, 2024

Sex

Male

Sole proprietor

Yes

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Valley Gastroenterology Inc.Group PAC ID 4688577174, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Boulder Valley Gastroenterology Inc.

  • Gastroenterology Physician
  • Lafayette, CO
  • NPI 1902832603
  Medicare reassignment Care Compare group NPD (past)
• Boulder Valley Gastroenterology Inc.

  • Gastroenterology Physician
  • Northglenn, CO
  • NPI 1043806276
  NPD
• Boulder Valley Gastroenterology Inc.

  • Gastroenterology Physician
  • Denver, CO
  • NPI 1134715360
  NPD

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1689412165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5287 E 123RD CT",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 GRANT ST STE 360",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331117",
            "telephone_number": "303-604-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "TREVOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolene Stacey
• Stacy Labar Therapy, LLC
• Stacy Labar Therapy, LLC
• Stacy Labar Therapy, LLC
• Jakeia Stallworth
• Mariah Starbuck, PTA
• Casey Staschak
• Janna Steele, RPH
• Joshua Michael Steinberg, MD
• Amanda M Stephens

• Physician Assistant in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.