NPIMap

Individual provider Active NPI

Trina Lorin Wilson, PA-C

  • Surgical Physician Assistant
  • Middlebury, VT
National Provider Identifier
1881775898
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0550031008 Issued in VT
Practice address
1436 Exchange St
Middlebury, VT 05753-4497
Phone
(802) 388-3194
Fax
(802) 388-4881
NPI assigned
Oct 17, 2006
Last updated
Oct 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0550031008 VT Primary

Addresses

Primary practice location

1436 Exchange St
Middlebury, VT 05753-4497

Mailing address

PO Box 365
Middlebury, VT 05753-0365
Phone (802) 349-0516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000626 VT Practitioner - Physician Assistant 1759420565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Hospital IncGroup PAC ID 1850365180, shared by 5 NPIs, 116 clinicians

Practice addresses (Care Compare)

10 N St
PMC Primary Care Vergennes
Vergennes, VT 05491-1107
Phone (802) 877-3466

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701

1436 Exchange St
Middlebury, VT 05753-4497
Phone (802) 388-3194

82 Catamount Park
Middlebury, VT 05753-1292
Phone (802) 388-7185

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0550031008VTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital, Inc CurrentSince Jan 1, 2012 Accepting new patients
Porter Hospital Inc CurrentSince Jan 1, 2012 Accepting new patients
Porter Hospital Inc Current Accepting new patients
Champlain Valley Orthopedics Past Accepting new patients

Locations

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

1436 Exchange St
Middlebury, VT 05753
Phone (802) 388-3194

76 Court St
Middlebury, VT 05753
Phone (802) 388-1200

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

10 North St
Ste 101
Vergennes, VT 05491
Phone (802) 877-3466

Interoperability endpoints

  • Direct secure messaging: trinawilson@direct.summit-healthcare.org
  • Direct secure messaging: twilson125909@direct.uvmhealth.org

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1881775898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057530365",
            "telephone_number": "802-349-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 EXCHANGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057534497",
            "telephone_number": "802-388-3194",
            "fax_number": "802-388-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TRINA",
        "middle_name": "LORIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VT",
            "license": "0550031008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.