MR. TREVOR AMBRON (PA-C) – Physician Assistant, NPI 1447227871

MR. TREVOR AMBRON (PA-C) is a healthcare provider. based in Whiteman afb, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1070732 (SC). The NPI Number for MR. TREVOR AMBRON (PA-C) is 1447227871

Main info

Male
21 Years Of Experience
Name
MR. TREVOR AMBRON (PA-C)
NPI
1447227871
Phone
(660) 687-4299
Address
331 SIJAN AVE
Enumeration Date
3 March 2006
Last Update Date
4 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292418925
Graduation Year
2005 (21 years ago)
PAC ID
1951661057
Group Practice PAC ID
6406807015
Professional Enrollment ID
I20220104002180
Address ID
GA316025913VA2804XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,854 PHYSICIAN ASSISTANT in MO

Provider Addresses for MR. TREVOR AMBRON (PA-C)

  • 331 SIJAN AVE

    509 MDOS/SGOX

    WHITEMAN AFB, MO 65305

    Phone: (660) 687-4299

    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 46 Open Payments records for all available years, with a total value of $829.

Total Amount is formed as General ($829) + Research ($0) + Ownership ($0) = $829.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($333).

Total Amount

$829

General + Research + Ownership

Payments

46

Total payment records

General Amount

$829

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2022-01-04

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
I20220104002180IPhysician AssistantGATBD

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 65305)

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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: 6406807015View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeAL
Pain Management, Physical Medicine And RehabilitationGA
Physical Therapist In Private PracticeGA
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA
Nurse PractitionerGA
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

How do payers reference MR. TREVOR AMBRON (PA-C)?
For MR. TREVOR AMBRON (PA-C), use NPI 1447227871 as the unique 10-digit identifier.
Is MR. TREVOR AMBRON (PA-C) still an active registrant?
MR. TREVOR AMBRON (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to MR. TREVOR AMBRON (PA-C)?
MR. TREVOR AMBRON (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. TREVOR AMBRON (PA-C)?
Travel planning: use Whiteman Afb, Missouri as the reference point for MR. TREVOR AMBRON (PA-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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