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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. TREVOR JARED OLIVERSON MD, DDS
NPI 1508503475
Oral & Maxillofacial Surgery in Rochester, MN

Active since May 12, 2022PECOS Enrolled
200 1ST ST SW, ROCHESTER, MN 55905(801) 529-3619 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Jun 7, 2022, May 12, 2022 (3 updates tracked since 2022).

About Dr. Trevor Jared Oliverson Md, Dds NPPES

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

DR. TREVOR JARED OLIVERSON MD, DDS (NPI 1508503475) is an individual oral & maxillofacial surgery provider in Rochester, Minnesota, licensed in Minnesota (83332) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina School Of Dentistry (2022).

NPPES Registry Identity

NPI1508503475
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. TREVOR JARED OLIVERSONCredential: MD, DDS
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Phone(801) 529-3619
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina School Of DentistryGraduated 2022
Enumeration DateMay 12, 2022
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1508503475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MN · 83332
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License D14712 (MN)
200 1ST ST SW, Rochester, MN 55905
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life.Insurance ›

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

Dr. Trevor Jared Oliverson Md, Dds 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 ID3971982208
PECOS Enrollment IDI20220616002416
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.

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.

EMILY LEASURE MD
Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NATHANAEL BAILEY
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NICOLE S NIPPER NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
BRANDI D'SOUZA NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
DR. JODI M. MOORE-WEISS OD
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JENNIFER L KERKVLIET MA
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
EMMANUEL J LUJERO CRNA
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JUAN PABLO BRITO CAMPANA M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511

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 Oliverson's NPI number?

The NPI number for Trevor Oliverson is 1508503475. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Trevor Oliverson located?

Trevor Oliverson practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (801) 529-3619.

What is Trevor Oliverson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Trevor Oliverson enrolled in Medicare?

Yes. Trevor Oliverson 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.

What insurance does Trevor Oliverson accept?

Health plans from Florida Combined Life list Trevor Oliverson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trevor Oliverson was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.