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TREVER WILSON
NPI 1245856541
Licensed Practical Nurse in Euclid, OH

Active since June 23, 2020PECOS Enrolled
1975 E 221ST ST, EUCLID, OH 44117(216) 309-9768 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trever Wilson NPPES

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

TREVER WILSON (NPI 1245856541) is an individual licensed practical nurse in Euclid, Ohio, licensed in Ohio (175121) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245856541
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTREVER WILSON
Location Address1975 E 221ST STEuclid, OH 44117-2101
Mailing Address1975 E 221st StEuclid, OH 44117-2101 · (216) 309-9768
Phone(216) 309-9768
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1245856541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 175121
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1975 E 221ST ST, Euclid, OH 44117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trever Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971092834
PECOS Enrollment IDI20251030002242
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.

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 Trever Wilson's NPI number?

The NPI number for Trever Wilson is 1245856541. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Trever Wilson located?

Trever Wilson practices at 1975 E 221st St, Euclid, OH 44117. The listed phone number is (216) 309-9768.

What is Trever Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Is Trever Wilson enrolled in Medicare?

Yes. Trever Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trever Wilson was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.