Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Trevor Doren, PA

Individual provider Physician Assistant · NPI 1639707912

Trevor Doren, PA is a Physician Assistant in Springfield, Missouri. Qualified in 2019, 7 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Missouri.

Years since qualifying
7
Licensed in
MI, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2115 S Fremont Ave Ste 3300
Springfield, MO 65804-2246
Phone: (417) 820-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 813 Braastads Road, Ishpeming, MI 49849 — (517) 292-9913

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2021019987 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 20041100227 (MI)

Record details

NPI number1639707912
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 31, 2020
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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