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TREVOR STANLEY NP
NPI 1417886953
Nurse Practitioner - Critical Care Medicine in South Charleston, WV

Active since May 19, 2026PECOS EnrolledAccepts Medicare Assignment
4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309(304) 400-4545(304) 400-4546 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trevor Stanley Np NPPES

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

TREVOR STANLEY NP (NPI 1417886953) is an individual critical care medicine provider in South Charleston, West Virginia, licensed in West Virginia (106397) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1417886953
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameTREVOR STANLEYCredential: NP
Location Address4619 KANAWHA AVE SWSouth Charleston, WV 25309-1319
Mailing Address4619 Kanawha Ave SwSouth Charleston, WV 25309-1319 · (304) 400-4545 · Fax (304) 400-4546
Phone(304) 400-4545
Fax(304) 400-4546
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1417886953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in WV · 106397
4619 KANAWHA AVE SW, South Charleston, WV 25309
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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 and accepts Medicare assignment

Trevor Stanley Np 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 ID9133692700
PECOS Enrollment IDI20260625000097
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 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 16

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

JAMIE SPENCER NP-C
Nurse Practitioner (Family)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 400-4545
KELSEY STRICKLAND APRN, FNP-BC
Nurse Practitioner (Family)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 400-4545
CHRISTINE CAROLE MARTIN APRN
Nurse Practitioner (Acute Care)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 400-4545
CAITLIN JOHNSON APRN, FNP-BC
Nurse Practitioner (Primary Care)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 400-4545
DR. RYAN LLOYD WADDELL DO
Internal Medicine (Pulmonary Disease)
4619 KANAWHA AVE SW, PULMONARY ASSOCIATES OF CHARLESTON
CHARLESTON, WV 25309
Kanawha County (304) 400-4545
YEZENIA SOTO APRN-BC
Nurse Practitioner (Critical Care Medicine)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 400-4545
JOSHUA CHASE ANDERSON FNP-BC
Nurse Practitioner (Family)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 400-4545
DR. PHILLIP COX D.O.
Internal Medicine (Critical Care Medicine)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 400-4545

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 Stanley's NPI number?

The NPI number for Trevor Stanley is 1417886953. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Trevor Stanley located?

Trevor Stanley practices at 4619 Kanawha Ave SW, South Charleston, WV 25309. The listed phone number is (304) 400-4545.

What is Trevor Stanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Trevor Stanley enrolled in Medicare?

Yes. Trevor Stanley 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.

When was this NPI record last updated?

The NPPES record for Trevor Stanley was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.