TREVOR R BARTLETT (NP) – Family Nurse Practitioner, NPI 1639442973

TREVOR R BARTLETT (NP) is a healthcare provider. based in Idaho falls, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP-1146A (ID). The NPI Number for TREVOR R BARTLETT (NP) is 1639442973

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR R BARTLETT (NP)
NPI
1639442973
Phone
(208) 542-7100
Address
2730 CHANNING WAY
Enumeration Date
16 February 2012
Last Update Date
11 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085852600
Graduation Year
2011 (15 years ago)
PAC ID
1456515840
Group Practice PAC ID
3678738218
Professional Enrollment ID
I20120615000028
Address ID
ID834025093ID765XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for TREVOR R BARTLETT (NP)

  • 2730 CHANNING WAY

    IDAHO FALLS, ID 834045049

    Phone: (208) 542-7100

    Fax: (208) 542-7150

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $211.

Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($88).

Total Amount

$211

General + Research + Ownership

Payments

7

Total payment records

General Amount

$211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120615000028INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8869$0
36415Insertion of needle into vein for collection of blood sample7860$0
99213Established patient office or other outpatient visit, 20-29 minutes5853$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3030$0
81003Automated urinalysis test2322$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678738218View full group profile
NameSpecialtyState
Nurse PractitionerID
Physician AssistantID
-ID
Physician AssistantID

Reviews

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Frequently asked questions

Can I verify TREVOR R BARTLETT (NP) with an NPI only?
You can start verification with NPI 1639442973 for TREVOR R BARTLETT (NP), then check state licensing separately.
Can I rely on TREVOR R BARTLETT (NP) being an active provider?
As of the registry snapshot, TREVOR R BARTLETT (NP) is marked active.
What healthcare role does TREVOR R BARTLETT (NP) hold?
Scheduling teams often label TREVOR R BARTLETT (NP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is TREVOR R BARTLETT (NP) based?
TREVOR R BARTLETT (NP) is tied to Idaho Falls, Idaho in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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