Mr Trevor R Johnson, in Waterloo, NY - Medicare Nurse Practitioner

Mr Trevor R Johnson, is a medicare enrolled "Nurse Practitioner - Primary Care" in Waterloo, New York. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 367 E Main St Ste A, Waterloo, New York. You can reach out to his office (for appointments etc.) via phone at (315) 787-4977.

Mr Trevor R Johnson is licensed to practice in New York (license number F357797-01) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1669347951.

Contact Information

	Mr Trevor R Johnson,
	367 E Main St Ste A, Waterloo, NY 13165-1643
	(315) 787-4977
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Trevor R Johnson
Gender	Male
Speciality	Nurse Practitioner
Experience	1 Years
Location	367 E Main St Ste A, Waterloo, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Trevor R Johnson graduated from nursing school in 2025

NPI Data:

NPI Number: 1669347951
Provider Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025

Medicare PECOS Information:

PECOS PAC ID: 4587131628
Enrollment ID: I20260427002209

Medical Identifiers

Medical identifiers for Mr Trevor R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669347951	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	F357797-01 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Finger Lake Health-geneva General Hospital	Geneva, NY	Hospital
Soldiers And Sailors Memorial Hospital Of Yates	Penn yan, NY	Hospital

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Trevor R Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Trevor R Johnson, 4603 Witherden Rd, Marion, NY 14505-9319 Ph: (585) 278-8583	Mr Trevor R Johnson, 367 E Main St Ste A, Waterloo, NY 13165-1643 Ph: (315) 787-4977

Reviews and Comments

Nurse Practitioner Nurses in Waterloo, NY

Janet L Owen, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 367 E Main St, Waterloo, NY 13165 Phone: 315-539-0580 Fax: 315-539-0583
Roberta L. Korich, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 367 E Main St, Seneca Family Health Center, Waterloo, NY 13165 Phone: 315-787-4977
Sue A Green, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 369 E Main St, Waterloo, NY 13165 Phone: 315-539-4025
Ms. Monica Ray, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 W Williams St, Waterloo, NY 13165 Phone: 607-368-7592
Mrs. Jennifer Lauren Whitmore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 367 E Main St, Waterloo, NY 13165 Phone: 315-787-4977
Stephanie Humbert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 367 E Main St, Waterloo, NY 13165 Phone: 315-521-9228
Ute E Gallert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 Phone: 315-539-9202 Fax: 315-539-3495

Mr Trevor R Johnson, - Medicare Nurse Practitioner in Waterloo, NY