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DR. DORA ELIA TREVINO DNP, APRN, FNP-BC
NPI 1215519731
Nurse Practitioner - Family in San Antonio, TX

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
332 W SUNSET RD STE 3, SAN ANTONIO, TX 78209(210) 546-1430(210) 546-1439 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2022, Apr 23, 2021 (2 updates tracked since 2021).

About Dr. Dora Elia Trevino Dnp, Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DORA ELIA TREVINO DNP, APRN, FNP-BC (NPI 1215519731) is an individual family provider in San Antonio, Texas, licensed in Texas (1033667) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215519731
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. DORA ELIA TREVINOCredential: DNP, APRN, FNP-BC
Location Address332 W SUNSET RD STE 3San Antonio, TX 78209-1755
Mailing Address332 W Sunset Rd Ste 3San Antonio, TX 78209-1755 · (210) 546-1430 · Fax (210) 546-1439
Phone(210) 546-1430
Fax(210) 546-1439
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2021
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1215519731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1033667
332 W SUNSET RD STE 3, San Antonio, TX 78209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dora Elia Trevino Dnp, Aprn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840699534
PECOS Enrollment IDI20210601000084
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Dora Trevino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Pain Partners PLLC
5.2 mi
Pain Medicine
3202 CHERRY RIDGE DR STE 103
San Antonio, TX 78230
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1972330355 (210) 805-9800
Spine Care & Pain Management Of San Antonio LLC
8.7 mi
Interventional Pain Medicine
110 STONE OAK LOOP
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1114375482 (210) 545-0087

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
190 services140 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
187 services139 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services111 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services52 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.69
Promoting Interoperability100
Improvement Activities40
Cost39.76

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE STELLA JONES M.D.
Pain Medicine (Pain Medicine)
332 W SUNSET RD STE 3
SAN ANTONIO, TX 78209
Bexar County (210) 546-1430
CONSULTANTS IN PAIN MEDICINE, PLLC
Pain Medicine (Pain Medicine)
332 W SUNSET RD STE 3
SAN ANTONIO, TX 78209
Bexar County (210) 805-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dora Trevino's NPI number?

The NPI number for Dora Trevino is 1215519731. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Dora Trevino located?

Dora Trevino practices at 332 W Sunset Rd Ste 3, San Antonio, TX 78209. The listed phone number is (210) 546-1430.

What is Dora Trevino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dora Trevino enrolled in Medicare?

Yes. Dora Trevino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dora Trevino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dora Trevino reassigns Medicare benefits to 2 organizations: Texas Pain Partners PLLC (San Antonio, TX) and Spine Care & Pain Management Of San Antonio LLC (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dora Trevino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dora Trevino accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Dora Trevino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dora Trevino affiliated with any hospitals?

According to CMS data, Dora Trevino is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Dora Trevino was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.