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TREVOR VAN VLIET
NPI 1275265001
Physician Assistant in Memphis, TN

Active since June 29, 2022PECOS Enrolled
262 DANNY THOMAS PL, MEMPHIS, TN 38105(901) 321-3000 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Trevor Van Vliet NPPES

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

TREVOR VAN VLIET (NPI 1275265001) is an individual physician assistant in Memphis, Tennessee, licensed in Tennessee (5628) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275265001
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTREVOR VAN VLIET
Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678
Mailing Address7121 Rico CvGermantown, TN 38138-5740 · (908) 798-1684
Phone(901) 321-3000
Sole ProprietorNo
Enumeration DateJune 29, 2022
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1275265001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 5628
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
262 DANNY THOMAS PL, Memphis, TN 38105
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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)

Trevor Van Vliet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38105 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

MISS JENNIFER ELAINE ROEMER CPNP-AC
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
MR. ALBERTO S. PAPPO M.D.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-6765
MS. HEATHER MARIE CONKLIN PHD
Psychologist (Clinical)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
ALYSSA COTTON
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
ARMITA BAHRAMI MD
Pathology (Anatomic Pathology & Clinical Pathology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
DR. SEAN PHIPPS PH.D.
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
WENDY BOURLAND D.O.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105
Shelby County (901) 595-3300
JAMES MICHAEL BURGESS DNP, MBA, RN
Clinical Nurse Specialist (Oncology, Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300

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 Trevor Van Vliet's NPI number?

The NPI number for Trevor Van Vliet is 1275265001. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Trevor Van Vliet located?

Trevor Van Vliet practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (901) 321-3000.

What is Trevor Van Vliet's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Trevor Van Vliet enrolled in Medicare?

Yes. Trevor Van Vliet is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trevor Van Vliet was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.