Individual provider Active NPI

Marla M Troyer, FNP

  • Family Nurse Practitioner
  • Plymouth, IN
National Provider Identifier
1114482676
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008750A Issued in IN
Practice address
209 E Jefferson St
Plymouth, IN 46563-1861
Phone
(574) 948-5100
Fax
(574) 335-0745
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008750A IN Primary

Addresses

Primary practice location

209 E Jefferson St
Plymouth, IN 46563-1861

Mailing address

707 Cedar St Ste 405
South Bend, IN 46617-2059

Other identifiers 2

IdentifierTypeStateIssuer
1102254257OtherINANTHEM
300026662MedicaidIN

Other names 1

  • Marla M Hurford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190322001523 IN Practitioner - Nurse Practitioner 8921348285 Reassigns benefits to 3 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
Saint Joseph Regional Medical Center IncGroup PAC ID 8325950843, 137 clinicians

Practice addresses (Care Compare)

209 E Jefferson St
Plymouth Family and Internal Medicine DT
Plymouth, IN 46563-1861
Phone (574) 948-5100

Hospital & facility affiliations

  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • Saint Joseph Regional Medical Center - Plymouth Hospital, Plymouth, IN, CCN 150076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71008750AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Jul 27, 2023 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Family CurrentSince Oct 12, 2023 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc CurrentSince Oct 12, 2023 Accepting new patients
Privia Medical Group Indiana, LLC CurrentSince Mar 8, 2019 Accepting new patients
Privia Medical Group Indiana, LLC Family Current Accepting new patients
Saint Joseph Regional Medical Center, Inc. Family CurrentSince Jul 27, 2023 Accepting new patients

Locations

303 S Nappanee St
Elkhart, IN 46514

3421 Cassopolis St
Ste 200
Elkhart, IN 46514
Phone (574) 335-8180

60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

410 Park Pl
#A
Mishawaka, IN 46545
Phone (574) 252-0667

510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987

209 E Jefferson St
Plymouth, IN 46563
Phone (574) 941-3111

2930 W Cleveland Road Ext
South Bend, IN 46628
Phone (574) 335-8450

707 Cedar St
Ste 405
South Bend, IN 46617

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • Direct secure messaging: mtroyer2914062@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1114482676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CEDAR ST STE 405",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E JEFFERSON ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631861",
            "telephone_number": "574-948-5100",
            "fax_number": "574-335-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROYER",
        "first_name": "MARLA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008750A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1102254257",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300026662",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "HURFORD",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.