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

Trevor G Wall, PA-C

Individual provider Physician Assistant · NPI 1366871972

Trevor G Wall, PA-C is a Physician Assistant in Durango, Colorado. Qualified in 2007, 19 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group and accepts Medicare assignment. Licensed in Colorado and New Mexico.

Years since qualifying
19
Licensed in
CO, NM
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Mercado St Ste 202
Durango, CO 81301-7306
Phone: (970) 247-5362
Fax: (970) 259-6045
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0003986 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA2013-0074 (NM)

Record details

NPI number1366871972
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2013
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Durango