MOLLY D TREVINO – Family Nurse Practitioner, NPI 1376147173

MOLLY D TREVINO is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1012052 (TX). The NPI Number for MOLLY D TREVINO is 1376147173

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY D TREVINO
NPI
1376147173
Phone
(210) 618-6084
Address
14345 BLANCO RD
Enumeration Date
23 November 2020
Last Update Date
12 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104414333
Graduation Year
2020 (6 years ago)
PAC ID
7810304730
Group Practice PAC ID
3274061783
Professional Enrollment ID
I20210322000083
Address ID
TX782304830SA3202XDRXX401
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

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MOLLY D TREVINO

  • 14345 BLANCO RD

    SAN ANTONIO, TX 782167723

    Phone: (210) 618-6084

    Fax: (210) 519-2970

    Type: Mailing

  • 5364 FREDERICKSBURG RD STE 100

    SAN ANTONIO, TX 782296107

    Phone: (210) 802-7003

    Fax: (210) 519-2970

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Boston Scientific Corporation ($41).

Total Amount

$41

General + Research + Ownership

Payments

1

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2021-03-22

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
I20210322000083INurse PractitionerTXTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 78216)

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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: 3274061783View full group profile
NameSpecialtyState
Nurse PractitionerTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Nurse PractitionerTX
Interventional Pain Management, Physical Medicine And RehabilitationTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Interventional Pain Management, AnesthesiologyTX

Reviews

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Frequently asked questions

What unique ID ties claims to MOLLY D TREVINO?
NPI 1376147173 is assigned to MOLLY D TREVINO under the national enumeration system.
Is MOLLY D TREVINO active in the national directory?
MOLLY D TREVINO's public NPI profile is in an active state.
Can you summarize MOLLY D TREVINO's specialty in plain language?
Clinically, the directory lists MOLLY D TREVINO with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MOLLY D TREVINO?
We surface San Antonio, Texas for MOLLY D TREVINO based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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