TREVOR ANDREW SAMOL CRNP
NPI 1700532892
Nurse Practitioner - Family in Erie, PA

NPI Status: Active since February 27, 2022

Contact Information

5515 PEACH ST
ERIE, PA
ZIP 16509
Phone: (814) 464-4031

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  • Individual
  • Male
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About TREVOR SAMOL

This page provides the complete NPI Profile along with additional information for Trevor Samol, a provider established in Erie, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1700532892 assigned on February 2022. The practitioner's primary taxonomy code is 363LF0000X with license number SP023001 (PA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1700532892
Provider Name
TREVOR ANDREW SAMOL CRNP
Gender
Male
Entity Type
Individual
Location Address
5515 PEACH ST ERIE, PA 16509
Location Phone
(814) 464-4031
Mailing Address
3021 HIDDEN LN ERIE, PA 16506
Mailing Phone
(814) 460-4097
Is Sole Proprietor?
No
Enumeration Date
02-27-2022
Last Update Date
02-27-2022
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A nurse practitioner (NP) like Trevor Samol is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 4740 Peach St
    Erie, PA 16509
    (814) 454-3174

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
SP023001
License State
PA

Medicare Participation & PECOS Enrollment Status

Trevor Samol is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 16509 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.88
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $21.22
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.82
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $24.2
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for TREVOR ANDREW SAMOL CRNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700532892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001034818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 0 + 3 + 4 + 8 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1700532892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346248291 CHRISTOPHER JOHN CARBO DO
Individual
Family Medicine (Addiction Medicine)5515 PEACH ST
ERIE, PA 16509
(814) 868-8252
1164422184 DENNIS E AGOSTINI DO
Individual
Family Medicine5515 PEACH ST
ERIE, PA 16509
(814) 868-8252
1487625521DR. DENNIS P BORCZON MD
Individual
Psychiatry & Neurology (Psychiatry)5515 PEACH ST
ERIE, PA 16509
(814) 864-4031
1790745305 RUSSELL E REICHTER M.D.
Individual
Specialist5515 PEACH ST
ERIE, PA 16509
(814) 868-8252
1700820909ELISEO M. ROQUIZ MD
Organization
Anesthesiology5515 PEACH ST
ERIE, PA 16509
(814) 454-8885
1104974237 JONATHAN S PHILLIPS DO
Individual
Internal Medicine5515 PEACH ST
ERIE, PA 16509
(814) 868-8252
1548469307 MICHELE M MACKENZIE CRNA
Individual
Nurse Anesthetist, Certified Registered5515 PEACH ST
ERIE, PA 16509
(814) 864-4031
1841476538MILLCREEK COMMUNITY HOSPITAL
Organization
Nursing Facility/Intermediate Care Facility5515 PEACH ST
ERIE, PA 16509
(814) 868-8227
1447419536MEDICAL ASSOCIATES OF ERIE
Organization
Preventive Medicine (Sports Medicine)5515 PEACH ST
ERIE, PA 16509
(814) 864-4031
1417112947DR. ROGER WARREN ROGERS D.O.
Individual
Orthopaedic Surgery5515 PEACH ST
ERIE, PA 16509
(814) 864-4031
1043476500MRS. JANET L KUNEMAN LPN
Individual
Licensed Practical Nurse5515 PEACH ST
ERIE, PA 16509
(814) 864-4031
1376854869 DANIEL JOHN LUKES D.O.
Individual
Orthopaedic Surgery5515 PEACH ST
ERIE, PA 16509
(814) 868-8217
1922310721DR. EDWARD ARTHUR BLOUNTS JR. D.O.
Individual
Internal Medicine5515 PEACH ST
ERIE, PA 16509
(484) 358-1459
1033402953 JOSEPH AARON HOLMES D.O.
Individual
Psychiatry & Neurology (Psychiatry)5515 PEACH ST
ERIE, PA 16509
(181) 486-8820
1841584950DR. JIM HWANG DO
Individual
Psychiatry & Neurology (Psychiatry)5515 PEACH ST
ERIE, PA 16509
(814) 864-4031
1902193816DR. TIMOTHY GEORGE VOLK DO
Individual
Orthopaedic Surgery5515 PEACH ST
ERIE, PA 16509
(814) 864-4031
1518228907MS. BO XIAO D.O.
Individual
Family Medicine5515 PEACH ST MILLCREEK COMMUNITY HOSPITAL, DEPT OF MEDICAL EDUCATION
ERIE, PA 16509
(814) 868-8206
1548522410 TIM DOMMERMUTH R.PH.
Individual
Pharmacist5515 PEACH ST
ERIE, PA 16509
(814) 868-7733
1922360809DR. ERIN A BROWN PHARM.D
Individual
Pharmacist5515 PEACH ST
ERIE, PA 16509
(814) 868-7744
1538421490DR. ROGER L BRUMAGIN PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)5515 PEACH ST
ERIE, PA 16509
(814) 868-8266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700532892, enumerated in the NPI registry as an "individual" on February 27, 2022

The provider is located at 5515 Peach St Erie, Pa 16509 and the phone number is (814) 464-4031

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 27, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.