TREVOR RYAN GOLDSMITH DNP
NPI 1225635345
Nurse Anesthetist, Certified Registered in Wyoming, MN

Q: What is Trevor Goldsmith's NPI number?

The NPI number for Trevor Goldsmith is 1225635345. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Q: What is Trevor Goldsmith's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Goldsmith was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 01, 2020PECOS Enrolled

5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 464-4611 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2025, Oct 1, 2020 (2 updates tracked since 2020).

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About Trevor Ryan Goldsmith Dnp NPPES

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

TREVOR RYAN GOLDSMITH DNP (NPI 1225635345) is an individual nurse anesthetist, certified registered in Wyoming, Minnesota, licensed in Minnesota (2523) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225635345

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTREVOR RYAN GOLDSMITHCredential: DNP

Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013

Mailing Address6648 Red Birch CtLino Lakes, MN 55014-1337 · (715) 829-1360

Phone(651) 464-4611

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 1, 2020

Last NPPES UpdateMay 7, 20252 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1225635345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MN · 2523

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

5200 FAIRVIEW BLVD, Wyoming, MN 55092

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trevor Ryan Goldsmith Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709296171

PECOS Enrollment IDI20201113002378

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

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

North Metro Anesthesia Services P.A.

Same address

Nurse Anesthetist, Certified Registered

5200 FAIRVIEW BLVD
Wyoming, MN 55092

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: North Metro Anesthesia Services PA
34 clinicians in this Medicare group

NPI 1457339780 (651) 464-4611

University Anesthesia Providers, LLC

27 mi

Anesthesiology

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
681 clinicians in this Medicare group

NPI 1699711143 (612) 273-3000

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

Hospital Affiliations CMS Care Compare

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

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240050

Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55092 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LINDA KOEHLER

Rehabilitation Practitioner