TRENT H NOURSE (PA-C, MPAS) – Family Medicine Physician, NPI 1821091455
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for TRENT H NOURSE (PA-C, MPAS)
Derr Road, Kingsgate Commons, Springfield, Clark County, Ohio, 45503, United States
SPRINGFIELD, OH 455038620
Phone: (937) 342-9801
Fax: (937) 342-9804
Type: Location
2665 Derr Road
Springfield, OH 455038620
Phone: (937) 342-9801
Fax: (937) 342-9804
Type: Location
7774 DAYTON SPRINGFIELD RD
FAIRBORN, OH 453241957
Phone: (937) 864-7363
Fax: (937) 864-5895
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $916.
Total Amount is formed as General ($916) + Research ($0) + Ownership ($0) = $916.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($450).
Total Amount
$916
General + Research + Ownership
Payments
80
Total payment records
General Amount
$916
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $450 |
| Novo Nordisk Inc | $77 |
| Abbott Laboratories | $65 |
| PFIZER INC. | $56 |
| Phathom Pharmaceuticals, Inc. | $55 |
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: 2006-02-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060217000395 | I | Physician Assistant | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 478 | 171 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 59 | 59 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 56 | 56 | $0 |
| G0008 | Administration of influenza virus vaccine | 52 | 52 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 50 | 50 | $0 |
Insurance plans in this area (ZIP 45503)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
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