Active NPI
Marla M Troyer, FNP
- Family Nurse Practitioner
- Plymouth, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008750A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102254257 | Other | IN | ANTHEM |
| 300026662 | Medicaid | IN |
Other names 1
- Marla M Hurford
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
Enrollment records 1
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
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
- Saint Joseph Regional Medical Center - Plymouth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71008750A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Family | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Family | Current | Accepting new patients |
| Saint Joseph Regional Medical Center, Inc. | Family | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Multi-Specialty Clinic/Center
- Elkhart, IN
- NPI 1013912286
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
-
- Family Nurse Practitioner
- Wakarusa, IN
- NPI 1568147809
-
- Hospitalist Physician
- Plymouth, IN
- NPI 1821402876
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.