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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TREVER JON TARDIF RIENDEAU PA-S
NPI 1396586384
Physician Assistant in Longmeadow, MA

Active since June 04, 2024PECOS Enrolled
588 LONGMEADOW ST, LONGMEADOW, MA 01106(413) 565-1000 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 22, 2026, Jun 4, 2024 (2 updates tracked since 2024).

About Trever Jon Tardif Riendeau Pa-s NPPES

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

TREVER JON TARDIF RIENDEAU PA-S (NPI 1396586384) is an individual physician assistant in Longmeadow, Massachusetts, licensed in New Hampshire (3756) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396586384
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTREVER JON TARDIF RIENDEAUCredential: PA-S
Location Address588 LONGMEADOW STLongmeadow, MA 01106-2212
Mailing Address588 Longmeadow StLongmeadow, MA 01106-2292
Phone(413) 565-1000
Sole ProprietorYes
Enumeration DateJune 4, 2024
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1396586384 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 NH · 3756
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.
588 LONGMEADOW ST, Longmeadow, MA 01106
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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 Jon Tardif Riendeau Pa-s 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 01106 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

MS. MAIA LAINE BONI
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
EUNNINDY DELLS SANON
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (603) 556-2151
MS. EMILY QUINN HALAS
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
CLARA BANG
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (800) 782-7284
NADYA FITSUM
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
SEERAT KAMAL
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
KRUTI PATEL
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
MADISON MAY MASSARO-COOK
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000

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 Riendeau's NPI number?

The NPI number for Trever Riendeau is 1396586384. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Trever Riendeau located?

Trever Riendeau practices at 588 Longmeadow St, Longmeadow, MA 01106. The listed phone number is (413) 565-1000.

What is Trever Riendeau's specialty?

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

Is Trever Riendeau enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Trever Riendeau was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.