Trena Preston, APRN

  • Hazard, KY
  • Nurse practitioner
NPI1033131156PAC ID6901804541
Medicare patients, 2024
132
Part D claims, 2024
6,576
MIPS score, 2024
82
Hospital affiliations
1
Industry payments
$63
Practice address
100 Medical Center Drive, Hazard, KY 41701
Practice phone
Call (606) 439-1331
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Hazard ARH Regional Medical Center

Hospital · Hazard, Kentucky

See all 3 affiliations

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Trena Preston is a nurse practitioner in Hazard, Kentucky

Trena Preston practices at Hazard ARH Regional Medical Center in Hazard, Kentucky, part of ARH.

Trena Preston's NPI, 1033131156, was assigned on July 25, 2006. Trena Preston holds Kentucky license 42682.

NPI and contact details
Medicare PAC ID
6901804541
NPI enumeration date
July 25, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(606) 439-1331
Professional email
Get email
Personal email
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Mobile number
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Sex
Female
Estimated age
46
Medical school graduation
2006

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Trena Preston practices at Hazard ARH Regional Medical Center in Hazard, Kentucky

Trena Preston's primary practice is Hazard ARH Regional Medical Center, at 100 Medical Center Drive, Hazard, KY 41701 in Perry County. The practice phone is (606) 439-1331.

Source: Dmand AI Affiliation Data

Trena Preston is affiliated with 2 sites of care and 1 medical group

Trena Preston's primary practice is Hazard ARH Regional Medical Center in Hazard, Kentucky, part of ARH. The medical group on file is ARH Pennington Gap Clinic. Dmand AI also links Trena Preston to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Trena Preston

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Trena Preston's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Trena Preston practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Hazard ARH Regional Medical CenterAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Trena Preston is one of 1,492 nurse practitioners in Kentucky

Nurse practitioner is Trena Preston's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Trena Preston is licensed in Kentucky.

Specialties and state licenses

  • Nurse practitioner, KentuckyPrimaryLicense 42682 · taxonomy 363L00000X

Nurse practitioners near Trena Preston

Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Trena Preston treated 132 Medicare patients in 2024, average age 67

CMS counts 132 Medicare patients who saw Trena Preston in 2024. The largest group is 65 to 74, with 72 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 36% are also on Medicaid. Their average risk score is 1.10, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Trena Preston's median patient age at 47, with 65% women.

Medicare patients, 2024132
Average age67
Average risk score1.10
Also on Medicaid36%

Trena Preston's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Trena Preston's Medicare patients by sex, 2024

  • Women7658%
  • Men5642%

Chronic conditions among Trena Preston's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes45%
  4. Arthritis35%
  5. Anxiety33%
  6. Mood disorders30%
  7. Depression29%
  8. COPD23%

Share of Medicare patients with each condition. A patient can have several.

Trena Preston's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 47

Patient panel by sex, all payers

  • Women65%
  • Men35%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Trena Preston wrote 6,576 Medicare Part D claims in 2024

In 2024, Trena Preston wrote 6,576 Medicare Part D claims for 321 patients. 88% of them were for generic drugs.

Part D claims, 20246,576
Part D patients321

Trena Preston's Part D claims by kind of drug, 2024

  • Generic5,780 claims88%
  • Brand-name749 claims11%
  • Other47 claims1%

Drug classes CMS tracks in Trena Preston's Part D claims, 2024

  • Opioids3%178 of 6,576 claims
  • Antibiotics4%279 of 6,576 claims
  • Antipsychotics, patients 65 and over1%34 of 6,576 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

Trena Preston scored 82 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 82 out of 100 for Trena Preston for performance year 2024, reported through an alternative payment model (APM). Trena Preston accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Trena Preston as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Trena Preston's MIPS scores, performance year 2024

  • 82of 100Final score
  • 47.1of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Trena Preston received $63 in industry payments in 2025

CMS Open Payments shows 3 general payments to Trena Preston from 3 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Grifols Shared Services North America, Inc. paid the most, $23.

Companies that paid Trena Preston the most, 2025 to 2025

Share is of all general payments to this clinician.

See all payments to Trena Preston

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Trena Preston's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Trena Preston

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Trena Preston's NPI number?

Trena Preston's NPI number is 1033131156. It was assigned on July 25, 2006, and it is active in the NPI Registry.

What does Trena Preston specialize in?

Trena Preston is a nurse practitioner in Hazard, Kentucky. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).

Where does Trena Preston practice?

Trena Preston practices at 100 Medical Center Drive, Hazard, KY 41701. Trena Preston's primary practice is Hazard ARH Regional Medical Center in Hazard, Kentucky, part of ARH. Dmand AI also links Trena Preston to 1 group practice or clinic.

What is Trena Preston's office phone number?

The practice phone on file for Trena Preston is (606) 439-1331.

What is Trena Preston's medical license number?

Trena Preston holds Kentucky license 42682.

Which hospitals is Trena Preston affiliated with?

Trena Preston practices at Hazard ARH Regional Medical Center in Hazard, Kentucky.

What medical group is Trena Preston part of?

Trena Preston is linked to ARH Pennington Gap Clinic.

Does Trena Preston accept Medicare?

Yes. CMS lists Trena Preston as accepting Medicare assignment.

Does Trena Preston offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Trena Preston as offering telehealth services.

What is Trena Preston's MIPS score?

Trena Preston's MIPS final score for performance year 2024 is 82 out of 100, reported through an alternative payment model (APM).

Show 3 more questionsShow fewer questions

How many Medicare patients does Trena Preston see?

CMS counts 132 Medicare patients who saw Trena Preston in 2024, with an average age of 67.

Has Trena Preston received payments from drug or device companies?

CMS Open Payments shows $63 in general payments to Trena Preston from 3 companies from 2025 to 2025. The largest total came from Grifols Shared Services North America, Inc.

How long has Trena Preston been practicing?

Trena Preston graduated from medical school in 2006, 20 years ago.

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