TREVOR ALAN HOLLOWAY DNP, FNP-C, RN
NPI 1588385124
Nurse Practitioner - Family in Mesa, AZ

Active since September 12, 2022PECOS EnrolledAccepts Medicare Assignment
1121 S GILBERT RD STE 101, MESA, AZ 85204(480) 827-5720 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Sep 12, 2022 (2 updates tracked since 2022).

About Trevor Alan Holloway Dnp, Fnp-c, Rn NPPES

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

TREVOR ALAN HOLLOWAY DNP, FNP-C, RN (NPI 1588385124) is an individual family provider in Mesa, Arizona, licensed in Arizona (264167) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1588385124
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTREVOR ALAN HOLLOWAYCredential: DNP, FNP-C, RN
Location Address1121 S GILBERT RD STE 101Mesa, AZ 85204-5235
Mailing Address1121 S Gilbert Rd Ste 101Mesa, AZ 85204-5235 · (480) 827-5720
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 12, 2022
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1588385124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 264167
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 264167 (AZ)
1121 S GILBERT RD STE 101, Mesa, AZ 85204

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 Alan Holloway Dnp, Fnp-c, Rn 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 ID8224513916
PECOS Enrollment IDI20260331002072
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 85204 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 2

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

Family Medicine
1121 S GILBERT RD STE 101
MESA, AZ 85204
Clinic/Center (Urgent Care)
1121 S GILBERT RD STE 101
MESA, AZ 85204

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 Holloway's NPI number?

The NPI number for Trevor Holloway is 1588385124. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Trevor Holloway located?

Trevor Holloway practices at 1121 S Gilbert Rd Ste 101, Mesa, AZ 85204. The listed phone number is (480) 827-5720.

What is Trevor Holloway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Trevor Holloway enrolled in Medicare?

Yes. Trevor Holloway 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 Holloway was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.