MR. TREVON ROSHAD DOUGLAS (AGACNP-BC) – Nurse Practitioner, NPI 1528571759

MR. TREVON ROSHAD DOUGLAS (AGACNP-BC) is a healthcare provider. based in Wichita falls, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. AP135794 (TX). The NPI Number for MR. TREVON ROSHAD DOUGLAS (AGACNP-BC) is 1528571759

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. TREVON ROSHAD DOUGLAS (AGACNP-BC)
NPI
1528571759
Phone
Not provided
Address
1201 SUNNYSIDE LN
Enumeration Date
9 November 2017
Last Update Date
9 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9407647000
Graduation Year
2017 (9 years ago)
PAC ID
9133483613
Group Practice PAC ID
4880827104
Professional Enrollment ID
I20180509001553
Address ID
TX763014300WI1600XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Loading map...

Provider Addresses for MR. TREVON ROSHAD DOUGLAS (AGACNP-BC)

  • 1201, Sunnyside Lane, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763018172

    Phone:

    Type: Mailing

  • United Regional Health Care System, 1600, 11th Street, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763014300

    Phone: (940) 764-8400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2018-05-09

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
I20180509001553INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,775572$0
99291Critical care, first 30-74 minutes6748$0
99238Hospital discharge day management, 30 minutes or less6262$0
View full utilization report →

Insurance plans in this area (ZIP 76301)

Loading plans...

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: 4880827104View full group profile
NameSpecialtyState
Nurse PractitionerTX
Critical Care (Intensivists)TX
Critical Care (Intensivists), Pulmonary DiseaseTX
Nurse PractitionerTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseTX
Nurse PractitionerTX
Critical Care (Intensivists), Pulmonary DiseaseTX
Nurse PractitionerTX
Critical Care (Intensivists), Pulmonary DiseaseTX
Nurse PractitionerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for MR. TREVON ROSHAD DOUGLAS (AGACNP-BC) in the U.S.?
In the U.S., MR. TREVON ROSHAD DOUGLAS (AGACNP-BC) is identified by NPI 1528571759.
Should I treat MR. TREVON ROSHAD DOUGLAS (AGACNP-BC) as an active provider?
Patients and plans typically see MR. TREVON ROSHAD DOUGLAS (AGACNP-BC) as active in the national extract.
What services align with MR. TREVON ROSHAD DOUGLAS (AGACNP-BC)'s listing?
MR. TREVON ROSHAD DOUGLAS (AGACNP-BC)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MR. TREVON ROSHAD DOUGLAS (AGACNP-BC) in Wichita Falls, Texas?
For routing, start with Wichita Falls, Texas for MR. TREVON ROSHAD DOUGLAS (AGACNP-BC), then verify phone and hours locally.
Why is information missing for MR. TREVON ROSHAD DOUGLAS (AGACNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

1808, Rose Street, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1760481709

MR. BRIAN LENZMEIER (CRNA)

Certified Registered Nurse Anesthetist
Southwest Health Center, 1400, Eastside Road, Platteville, Grant County, Wisconsin, 53818, United States
NPI: 1588646772

Unknown Individual

Nurse Practitioner
501, Midwestern Parkway East, Wichita Falls, Wichita County, Texas, 76302, United States
NPI: 1922087048

North Texas Cardiology Center

Cardiovascular Disease Physician
2101, 9th Street, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1013986470
1631, 11th Street, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1093784464

TONYA TURNER (NP)

Nurse Practitioner
4327 Barnett Rd
NPI: 1184677221

CYNIA DONETTE MENZIK (FNP)

Psychiatric/Mental Health Nurse Practitioner
1808, Rose Street, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1376572495

KYMBERLY KIRK CULLAR (FNP)

Nurse Practitioner
PO BOX 9889
NPI: 1255363800