Individual provider Active NPI

Trevor Jeffrey Howard, DPN, FNP-C

  • Family Nurse Practitioner
  • Hannibal, MO
National Provider Identifier
1902634397
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024028936 Issued in MO
Practice address
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone
(573) 629-3480
Fax
(573) 629-3987
NPI assigned
Jul 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024028936 MO Primary
Registered Nurse 163W00000X 76054 ID

Addresses

Primary practice location

6500 Hospital Dr
Hannibal, MO 63401-6890

Mailing address

PO Box 1239
Hannibal, MO 63401-1239
Phone (573) 629-3500

Other practice location 1

211 S 3rd St
Louisiana, MO 63353-2000
Phone (573) 754-5555

Other practice location 2

8 Town Center Dr
Bowling Green, MO 63334-2803
Phone (573) 324-2241

Other practice location 3

1802 Elm St
Canton, MO 63435-1694
Phone (573) 288-5360

Other practice location 4

400 S Center St
Shelbina, MO 63468-1404
Phone (573) 588-4131

Other practice location 5

821 US Highway 24 36 E
Monroe City, MO 63456-1470
Phone (573) 735-2506

Other practice location 6

3650 Stardust Dr
Hannibal, MO 63401-2411
Phone (573) 231-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240814002978 MO Practitioner - Nurse Practitioner 5890233423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300

Hospital & facility affiliations

  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76054IDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System, Inc CurrentSince Aug 1, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

8 Town Center Dr
Bowling Green, MO 63334
Phone (573) 324-2241

1802 Elm St
Canton, MO 63435
Phone (573) 288-5360

3650 Stardust Dr
Hannibal, MO 63401
Phone (573) 231-0660

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

211 S 3rd St
Louisiana, MO 63353
Phone (573) 754-5555

400 S Center St
Shelbina, MO 63468
Phone (573) 588-4131

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: trevorhoward@hrmg.allscriptsdirect.net

Organizations & group practices 2

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.

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1902634397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011239",
            "telephone_number": "573-629-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3480",
            "fax_number": "573-629-3987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Louisiana",
            "state": "MO",
            "postal_code": "633532000",
            "country_code": "US",
            "telephone_number": "573-754-5555",
            "fax_number": "573-754-5932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633342803",
            "country_code": "US",
            "telephone_number": "573-324-2241",
            "fax_number": "573-324-9854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 Elm St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MO",
            "postal_code": "634351694",
            "country_code": "US",
            "telephone_number": "573-288-5360",
            "fax_number": "573-288-5361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Center St",
            "address_purpose": "LOCATION",
            "city": "Shelbina",
            "state": "MO",
            "postal_code": "634681404",
            "country_code": "US",
            "telephone_number": "573-588-4131",
            "fax_number": "573-588-4876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 US Highway 24 36 E",
            "address_purpose": "LOCATION",
            "city": "Monroe City",
            "state": "MO",
            "postal_code": "634561470",
            "country_code": "US",
            "telephone_number": "573-735-2506",
            "fax_number": "573-735-1083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Stardust Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634012411",
            "country_code": "US",
            "telephone_number": "573-231-0660",
            "fax_number": "573-231-0687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "TREVOR",
        "middle_name": "JEFFREY",
        "credential": "DPN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024028936",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "76054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.