LARA TREVINO NP
NPI 1487046397
Nurse Practitioner - Adult Health in New York, NY

Active since March 02, 2015PECOS EnrolledAccepts Medicare Assignment
304 W 88TH ST, 3D, NEW YORK, NY 10024(214) 864-4882 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lara Trevino Np NPPES

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

LARA TREVINO NP (NPI 1487046397) is an individual adult health provider in New York, New York, licensed in New York (F307592-1) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487046397
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLARA TREVINOCredential: NP
Location Address304 W 88TH ST, 3DNew York, NY 10024-2227
Mailing Address85 W Burnside AveBronx, NY 10453-4015 · (718) 716-4400
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 2, 2015
Last NPPES UpdateMarch 28, 2016
✔ NPI 1487046397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F307592-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 691374-1 (NY)
304 W 88TH ST, New York, NY 10024

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lara Trevino 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 ID4688963465
PECOS Enrollment IDI20160518000571
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

3

Medicare enrollment records show Lara Trevino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
222 WEST 14TH STREET
New York, NY 10011
  • Reassigned Medicare billing, New York enrollment
  • 309 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1227 EDWARD L GRANT HWY, BRONX MEDICAL AND WELLNESS CENTER
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10024 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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 Lara Trevino's NPI number?

The NPI number for Lara Trevino is 1487046397. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Lara Trevino located?

Lara Trevino practices at 304 W 88th St 3D, New York, NY 10024. The listed phone number is (214) 864-4882.

What is Lara Trevino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lara Trevino enrolled in Medicare?

Yes. Lara Trevino 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.

Which organizations bill Medicare for Lara Trevino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Trevino reassigns Medicare benefits to 3 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Morris Heights Health Center, Inc. (Bronx, NY) and Sun River Health Inc (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lara Trevino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lara Trevino was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.