TREVOR RYAN GOLDSMITH (DNP) – Certified Registered Nurse Anesthetist, NPI 1225635345

TREVOR RYAN GOLDSMITH (DNP) is a healthcare provider. based in Eagan, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP. They hold a License No. 2523 (MN). The NPI Number for TREVOR RYAN GOLDSMITH (DNP) is 1225635345

Main info

Male
6 Years Of Experience
Name
TREVOR RYAN GOLDSMITH (DNP)
NPI
1225635345
Phone
(715) 829-1360
Address
1715 HICKORY HILL DR
Enumeration Date
1 October 2020
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514644611
Graduation Year
2020 (6 years ago)
PAC ID
6709296171
Group Practice PAC ID
0648244152
Professional Enrollment ID
I20201113002378
Address ID
MN550928013WY5200XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for TREVOR RYAN GOLDSMITH (DNP)

  • 1715 HICKORY HILL DR

    EAGAN, MN 551222411

    Phone: (715) 829-1360

    Type: Mailing

  • 2450 RIVERSIDE AVE

    MINNEAPOLIS, MN 554541450

    Phone: (612) 273-6723

    Type: Location

  • 6648 RED BIRCH CT

    LINO LAKES, MN 550141337

    Phone: (715) 829-1360

    Type: Mailing

  • 5200 FAIRVIEW BLVD

    WYOMING, MN 550928013

    Phone: (651) 464-4611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-11-13

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
I20201113002378ICertified Registered Nurse Anesthetist (Crna)MNTBD

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 55122)

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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: 0648244152View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Is there an official ID for TREVOR RYAN GOLDSMITH (DNP) in U.S. healthcare records?
The official identifier for TREVOR RYAN GOLDSMITH (DNP) is NPI 1225635345.
Active or inactive — what applies to TREVOR RYAN GOLDSMITH (DNP)?
You should see TREVOR RYAN GOLDSMITH (DNP) as active in CMS-hosted NPPES data.
How would a patient describe TREVOR RYAN GOLDSMITH (DNP)'s focus?
For TREVOR RYAN GOLDSMITH (DNP), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is TREVOR RYAN GOLDSMITH (DNP) associated with Eagan?
Public fields place TREVOR RYAN GOLDSMITH (DNP) around Eagan, Minnesota. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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