Active NPI
Jeremy Michael Troyer, FNP
- Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP139223
- Practice address
- 5414 S Broadway Ave
Tyler, TX 75703-1335 - Phone
- (903) 581-1601
- NPI assigned
- Oct 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 757993 | TX | |
| Nurse Practitioner | 363L00000X | AP139223 | TX | Primary |
Addresses
Primary practice location
5414 S Broadway Ave
Tyler, TX 75703-1335
Mailing address
5414 S Broadway Ave
Tyler, TX 75703-1335
Phone (903) 581-1601
Other practice location 1
520 Douglas Blvd
Tyler, TX 75702-8307
Phone (903) 606-6400
Other practice location 2
2101 W Loop 281
Longview, TX 75604-2506
Phone (903) 315-4180
Other practice location 3
3593 E Grande Blvd
Tyler, TX 75707-1400
Phone (903) 839-2585
Other practice location 4
8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500
Other practice location 5
1339 S Broadway St
Sulphur Springs, TX 75482-4895
Phone (903) 951-1001
Other practice location 6
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181130000654 | TX | Practitioner - Nurse Practitioner | 7214271337 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Texas Emergency Physicians PLLCMother Frances Hospital Regional Health Care CenterChristus Trinity Clinic Texas
Practice addresses (Care Compare)
323 E Hawkins Pkwy
Longview, TX 75605-8153
Phone (903) 544-6700
5414 S Broadway Ave
Christus Mother Frances Hospital
Tyler, TX 75703-1335
Phone (903) 531-5010
800 E Dawson St
Tyler, TX 75701-2036
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Christus Mother Frances Hospital Sulphur Springs
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 757993 | TX | MD | Emergency Registered Nurse |
| AP139223 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Northeast Texas Emergency Physicians, PLLC | Nurse Practitioner | Current | Accepting new patients |
| DCS Medical PA | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients |
Locations
1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937
2101 W Loop 281
Longview, TX 75604
Phone (903) 315-4180
323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000
1339 S Broadway St
Sulphur Springs, TX 75482
Phone (903) 951-1000
115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052
8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129
3593 E Grande Blvd
Tyler, TX 75707
Phone (903) 606-1664
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
520 Douglas Blvd
Tyler, TX 75702
Phone (903) 510-1175
5414 S Broadway Ave
Tyler, TX 75703
Phone (903) 581-1601
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- jtroyer15299@christushealth.direct-ci.net
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
TX
-
- Emergency Medicine Physician
- Longview, TX
- NPI 1114607611
Nurse Practitioner, TX
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Durable Medical Equipment & Medical Supplies
- New Braunfels, TX
- NPI 1639807548
-
- Rural Health Clinic/Center
- Emory, TX
- NPI 1033641105
-
- Rural Health Clinic/Center
- Canton, TX
- NPI 1134313083
-
- Rural Health Clinic/Center
- Mineola, TX
- NPI 1275727125
-
- Rural Health Clinic/Center
- Hawkins, TX
- NPI 1396939146
-
- Rural Health Clinic/Center
- Quitman, TX
- NPI 1497949341
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sulphur Springs, TX
- NPI 1033568621
Hospital
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1013483361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5414 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757031335",
"telephone_number": "903-581-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5414 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757031335",
"telephone_number": "903-581-1601"
}
],
"practiceLocations": [
{
"address_1": "520 Douglas Blvd",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028307",
"country_code": "US",
"telephone_number": "903-606-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 W Loop 281",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756042506",
"country_code": "US",
"telephone_number": "903-315-4180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3593 E Grande Blvd",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757071400",
"country_code": "US",
"telephone_number": "903-839-2585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8389 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757035408",
"country_code": "US",
"telephone_number": "903-606-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1339 S Broadway St",
"address_purpose": "LOCATION",
"city": "Sulphur Springs",
"state": "TX",
"postal_code": "754824895",
"country_code": "US",
"telephone_number": "903-951-1001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROYER",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "TX",
"license": "757993",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP139223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.