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TREVOR ANDREW SAMOL CRNP
NPI 1700532892
Nurse Practitioner - Family in Erie, PA

Active since February 27, 2022PECOS Enrolled

NPPES record last updated: February 27, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Trevor Andrew Samol Crnp NPPES

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

TREVOR ANDREW SAMOL CRNP (NPI 1700532892) is an individual family provider in Erie, Pennsylvania, licensed in Pennsylvania (SP023001) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1700532892
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTREVOR ANDREW SAMOLCredential: CRNP
Location Address5515 PEACH STErie, PA 16509-2603
Mailing Address3021 Hidden LnErie, PA 16506-1529 · (814) 460-4097
Phone(814) 464-4031
Sole ProprietorNo
Enumeration DateFebruary 27, 2022
NPPES CertifiedFebruary 27, 2022
✔ NPI 1700532892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP023001
5515 PEACH ST, Erie, PA 16509
Open in Google Maps ↗

Secondary Practice Location 1

Location 14740 Peach StErie, PA 16509-2008 · Phone (814) 454-3174

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trevor Andrew Samol Crnp 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 16509 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

EDEN KIMIAGAROV DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8217
NATALIE A KUJAN LDN
Dietitian, Registered
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. GARRETT P JAGEMAN PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ERIN CARLSON PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8267
NICHOLAS PAUL PANICO DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DALTON WADE SUMMERHILL
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ALYSE CHRISTINE HAGGERTY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
JOSEPH AARON HOLMES D.O.
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (181) 486-8820

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 Samol's NPI number?

The NPI number for Trevor Samol is 1700532892. It was assigned to this individual provider in the NPPES registry on February 27, 2022.

Where is Trevor Samol located?

Trevor Samol practices at 5515 Peach St, Erie, PA 16509. The listed phone number is (814) 464-4031.

What is Trevor Samol's specialty?

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

Is Trevor Samol enrolled in Medicare?

Yes. Trevor Samol is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trevor Samol was last updated on February 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.