TREVOR ALEXANDER NESSEL (DO) – Dermatology Physician, NPI 1154995660

TREVOR ALEXANDER NESSEL (DO) is a healthcare provider. based in Oxford, Michigan. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 5101027565 (MI). The NPI Number for TREVOR ALEXANDER NESSEL (DO) is 1154995660

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR ALEXANDER NESSEL (DO)
NPI
1154995660
Phone
(248) 620-3376
Address
72 S Washington St Ste 206
Enumeration Date
19 May 2021
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5867769770
Graduation Year
2021 (5 years ago)
PAC ID
4688074578
Group Practice PAC ID
0446330492
Professional Enrollment ID
I20210615001202
Address ID
MI480811687SA28333AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for TREVOR ALEXANDER NESSEL (DO)

  • 72 S Washington St Ste 206

    Oxford, MI 483716424

    Phone: (248) 620-3376

    Fax: (248) 620-3379

    Type: Location

  • 28333 HARPER AVE

    SAINT CLAIR SHORES, MI 480811687

    Phone: (586) 776-9770

    Type: Mailing

  • 18101 OAKWOOD BLVD

    DEARBORN, MI 481244089

    Phone: (248) 504-1279

    Type: Mailing

  • 28050 GRAND RIVER AVE OFC

    FARMINGTON HILLS, MI 483365919

    Phone: (947) 521-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $3,308.

Total Amount is formed as General ($3,308) + Research ($0) + Ownership ($0) = $3,308.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($420).

Total Amount

$3,308

General + Research + Ownership

Payments

58

Total payment records

General Amount

$3,308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-06-15

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
I20210615001202IDermatologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48371)

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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: 0446330492View full group profile
NameSpecialtyState
D E R M A T O L O G YIN
Physician AssistantNC
Physician AssistantMI
D E R M A T O L O G YMI
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

Where can patients find TREVOR ALEXANDER NESSEL (DO)'s NPI?
You can confirm TREVOR ALEXANDER NESSEL (DO) with NPI 1154995660; it appears in the national provider directory.
Is TREVOR ALEXANDER NESSEL (DO) currently active in the NPI registry?
CMS-published data lists TREVOR ALEXANDER NESSEL (DO) as an active registrant.
What kind of provider is TREVOR ALEXANDER NESSEL (DO)?
The page reflects Dermatology Physician for TREVOR ALEXANDER NESSEL (DO). Clinical services aligned with this taxonomy classification.
Where does public data place TREVOR ALEXANDER NESSEL (DO)?
The snapshot lists Oxford, Michigan for TREVOR ALEXANDER NESSEL (DO); download NPPES for the complete set.
Is TREVOR ALEXANDER NESSEL (DO) a real provider?
This page reflects official NPPES data for NPI 1154995660. Always confirm identity and privileges with the practice and licensing boards.

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