JUDITH L TREVISANO AGNP
NPI 1760842512
Nurse Practitioner - Adult Health in Bullhead City, AZ

Active since March 07, 2016PECOS EnrolledAccepts Medicare Assignment
63.42/100
CMS Quality Rating
2500 CANYON RD STE A1, BULLHEAD CITY, AZ 86442(928) 704-4499(928) 704-7494 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2024, Nov 7, 2022, Sep 23, 2016 (3 updates tracked since 2016).

About Judith L Trevisano Agnp NPPES

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

JUDITH L TREVISANO AGNP (NPI 1760842512) is an individual adult health provider in Bullhead City, Arizona, licensed in Arizona (TEMP305268) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2015).

NPPES Registry Identity

NPI1760842512
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJUDITH L TREVISANOCredential: AGNP
Location Address2500 CANYON RD STE A1Bullhead City, AZ 86442-8492
Mailing Address2500 Canyon Rd Ste A1Bullhead City, AZ 86442-8492 · (928) 704-4499 · Fax (928) 704-4949
Fax(928) 704-7494
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2015
Enumeration DateMarch 7, 2016
Last NPPES UpdateApril 23, 20243 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1760842512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in AZ · TEMP305268
2500 CANYON RD STE A1, Bullhead City, AZ 86442

Other Identifiers 1

Medicaid1760842512NV

Accepted 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

Judith L Trevisano Agnp 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 ID5890092688
PECOS Enrollment IDI20240529002889
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.

Areas of Expertise CMS Part B claims 31

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
288 services132 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
124 services40 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
83 services81 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
82 services82 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
59 services59 patients
Testing of autonomic nervous system function and heart rate response to deep breathing 95921
This test studies the autonomic nervous system, which controls body functions like heart rate. During the test, you'll breathe deeply while the heart rate is monitored. This helps identify any irregularities in the heart's response to breathing changes.
59 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86442 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

63.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.24
Improvement Activities40
Cost12.89

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier24 claims24 services$7.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$67.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Family Medicine
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442
Clinic/Center (Primary Care)
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442
Nurse Practitioner (Family)
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442
Nurse Practitioner (Family)
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442
Clinic/Center (Rural Health)
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442
Nurse Practitioner (Adult Health)
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442
Nurse Practitioner (Family)
2500 CANYON RD STE A1
BULLHEAD CITY, AZ 86442

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 Judith Trevisano's NPI number?

The NPI number for Judith Trevisano is 1760842512. It was assigned to this individual provider in the NPPES registry on March 7, 2016.

Where is Judith Trevisano located?

Judith Trevisano practices at 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442. The listed phone number is (928) 704-4499.

What is Judith Trevisano's specialty?

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

Is Judith Trevisano enrolled in Medicare?

Yes. Judith Trevisano 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 Judith Trevisano accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Judith Trevisano 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 Judith Trevisano was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.