Michael J Trimble, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1127723 Issued in TN

Practice address

40 W Caldwell St Ste 100
Mount Juliet, TN 37122-3180

Phone

(615) 773-2712

Fax

(615) 773-2707

NPI assigned

Mar 26, 2012

Sex

Male

Sole proprietor

No

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.

• Crossroads Medical Group, PLLC

  • Clinic/Center
  • White House, TN
  • NPI 1073539607

  TN

  Medicare reassignment Care Compare group
• Firefly Health PLLC

  • Family Medicine Physician
  • Portland, TN
  • NPI 1528749827

  TN

  Medicare reassignment
• Katherine W. Jones, MD, PLC

  • Family Medicine Physician
  • Mount Juliet, TN
  • NPI 1972608149

  TN

  Medicare reassignment
• Physicians' Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Franklin, TN
  • NPI 1396043923

  TN

  Medicare reassignment
• Physicians' Urgent Care, PLLC

  • Primary Care Clinic/Center
  • Franklin, TN
  • NPI 1144869744
  NPD
• Katherine W. Jones MD PLC

  • Family Medicine Physician
  • Mt Juliet, TN
  • NPI 1629448402
  NPD (past)
• Crossroads Medical Group, P.a.

  • Internal Medicine Physician
  • Balitmore, MD
  • NPI 1720041890
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Medical Group, PLLC 52 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TN

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2024.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1770859639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 KELSEY GLEN DR",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228562",
            "telephone_number": "615-260-5884",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST STE 100",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223180",
            "telephone_number": "615-773-2712",
            "fax_number": "615-773-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1127723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Trapp
• Nazaret Magdalena Trejo
• Shirley Treutel, BSN
• Triad Counseling and Wellness Corp
• Laura Trillizio, BCBA
• Diana Lynn Tucker, D.C.
• Temeka Rene Tunstall, DNP, APRN
• Courtney Lee Ann Turley, LPC-MHSP
• Andrea Turner, OT
• Anna Nicole Turner, LPC-MHSP

• All providers in Mount Juliet, TN
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.