Active NPI 1033131156 Individual Practitioner Female Practitioner

Trena Preston , APRN

Nurse Practitioner • Hazard, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Trena Preston, APRN is a certified Nurse Practitioner practicing in Hazard, KY. With approximately 20 years of clinical experience since completing medical education in 2006, Trena Preston delivers high-quality medical care to the local community at 181 ROY CAMPBELL DR.

Trena Preston is affiliated with Appalachian Regional Healthcare Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

181 Roy Campbell Dr

Hazard, KY 417019407

Telephone 6064877955

Fax 6064877949

Associated Practice Facility / Clinic

🏢 Ace Clinique Of Medicine Facility NPI 1306862057

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hazard, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +8.6 yrs vs City Avg

City Avg: 11.4 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

33 Specialists

Practicing in Hazard, KY (1865 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Preston (20 Years) 20 Yrs

Hazard Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	103	$80.52	$71.38
99213 Established patient office or other outpatient visit, typically 15 minutes	122	55	$52.64	$49.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$191.00	$106.63
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	12	$40.00	$9.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	11	$182.00	$82.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	125	$77.92	$71.36
99213 Established patient office or other outpatient visit, typically 15 minutes	193	78	$50.92	$48.77
99213 Established patient office or other outpatient visit, typically 15 minutes	85	29	$123.00	$52.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$191.00	$102.95
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	45	15	$40.00	$9.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	15	$49.00	$28.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$182.00	$79.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	134	$75.51	$72.80
99213 Established patient office or other outpatient visit, typically 15 minutes	145	76	$52.06	$48.80
99213 Established patient office or other outpatient visit, typically 15 minutes	133	51	$123.00	$54.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$191.00	$105.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	39	$182.00	$80.38
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	37	15	$40.00	$9.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	13	$72.00	$6.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	438	91	$123.00	$55.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	134	$74.19	$72.76
99213 Established patient office or other outpatient visit, typically 15 minutes	127	69	$51.33	$49.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	63	$182.00	$81.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$191.00	$106.20
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	46	46	$306.00	$144.63
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	15	$40.00	$10.20
36415 Insertion of needle into vein for collection of blood sample	24	24	$20.00	$3.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$191.00	$106.20
99442 Telephone medical discussion with physician, 11-20 minutes	13	11	$55.00	$55.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	81	$123.00	$42.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	142	$74.73	$65.65
99213 Established patient office or other outpatient visit, typically 15 minutes	139	61	$49.00	$42.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	73	$182.00	$65.52
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	66	41	$220.00	$105.73
99442 Telephone medical discussion with physician, 11-20 minutes	47	34	$55.00	$42.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$191.00	$93.56
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	35	35	$306.00	$147.32
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	13	$40.00	$10.38
36415 Insertion of needle into vein for collection of blood sample	20	20	$20.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$191.00	$93.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	282	52	$220.00	$104.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	160	$74.14	$64.31
99213 Established patient office or other outpatient visit, typically 15 minutes	158	66	$49.95	$41.63
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	154	52	$306.00	$145.49
36415 Insertion of needle into vein for collection of blood sample	54	31	$20.00	$2.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	54	13	$45.13	$1.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$191.00	$90.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$191.00	$91.87
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	27	27	$88.00	$18.65
G0008 Administration of influenza virus vaccine	26	26	$41.00	$15.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$287.00	$133.13
G0008 Administration of influenza virus vaccine	14	14	$41.00	$15.31
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$25.00	$18.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$41.00	$13.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	301	54	$220.00	$104.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	130	$72.80	$64.13
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	181	53	$306.00	$145.77
99213 Established patient office or other outpatient visit, typically 15 minutes	151	58	$49.20	$41.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	127	18	$41.00	$15.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	102	17	$46.00	$1.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$191.00	$92.47
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	32	32	$23.59	$19.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$79.85	$62.08
99213 Established patient office or other outpatient visit, typically 15 minutes	27	17	$49.20	$42.19
G0008 Administration of influenza virus vaccine	25	25	$41.00	$18.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$191.00	$92.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	465	69	$191.10	$104.05
99213 Established patient office or other outpatient visit, typically 15 minutes	285	162	$154.70	$55.05
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	168	37	$28.62	$3.02
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	81	51	$140.00	$68.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	77	60	$40.00	$10.45
36415 Insertion of needle into vein for collection of blood sample	74	57	$10.00	$2.94
80305 Testing for presence of drug, read by direct observation	70	37	$100.00	$14.66
80048 Blood test, basic group of blood chemicals (calcium, total)	62	53	$60.00	$8.53
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	61	51	$304.93	$144.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	47	47	$287.00	$134.10
82962 Blood glucose (sugar) test performed by hand-held instrument	40	26	$10.00	$3.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$203.53	$91.26
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	29	29	$20.00	$18.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$72.80	$63.82
80061 Blood test, lipids (cholesterol and triglycerides)	27	26	$97.00	$12.91
90471 Administration of 1 vaccine	24	23	$43.83	$19.55
83735 Magnesium level	20	18	$39.00	$9.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	12	$41.00	$19.54
84443 Blood test, thyroid stimulating hormone (TSH)	16	16	$112.00	$22.59
81001 Manual urinalysis test with examination using microscope, automated	15	14	$27.00	$4.26
G0008 Administration of influenza virus vaccine	14	14	$41.00	$22.90
84439 Thyroxine (thyroid chemical), free	12	12	$50.00	$12.12

Medical Specialties & State Licenses

CMS Verified: 2026-08-04

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 42682

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

78017639 (KY)

Hospital & Practice Group Affiliations

Appalachian Regional Healthcare Inc

200 Medical Ctr Dr, Hazard, KY 417019466

Phone: 6064877510

Appalachian Regional Healthcare Inc

181 Roy Campbell Dr, Hazard, KY 417019407

Phone: 6064391316

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Jacqueline Messer

Nurse Practitioner - Family

NPI 1295267102

Kelsi Campbell , APRN

Nurse Practitioner - Acute Care

NPI 1558242644

Advanced Practice Registered Nurse

Tracy Estridge , APRN

Nurse Practitioner - Family

NPI 1619252178

Advanced Practice Registered Nurse

Janessa Johnson-Melton , APRN

Nurse Practitioner

NPI 1861472243

Advanced Practice Registered Nurse

Dr. Chandrashekar Krishnaswamy , MD

Psychiatry & Neurology - Neurology

NPI 1861500985

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location August 04, 2026

Registered at 181 ROY CAMPBELL DR, HAZARD, KY 417019407 (Tel: 6064877955)

📍

Updated Business Mailing Address August 04, 2026

Registered at 181 ROY CAMPBELL DR, HAZARD, KY 417019407 (Tel: 6064877955)

✅

NPI Profile Active January 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2011

Registered at 271 E MAIN ST, HAZARD, KY 417011939 (Tel: 6064391316)

📍

Updated Business Mailing Address January 19, 2011

Registered at PO BOX 719, HAZARD, KY 417020719 (Tel: 6064391316)

👤

Provider Name / Credentials Updated January 19, 2011

Recorded as TRENA PRESTON, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2011

Nurse Practitioner (License #42682 in KY)

🟢

Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033131156

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 25, 2006

Last Update: August 04, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

181 Roy Campbell Dr

Hazard, KY 417019407

Phone: 6064877955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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