Individual provider Active NPI

Kevin Troup, APRN FNP-C

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1144707183
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9374283 Issued in FL
Practice address
1234 SE Magnolia Ext Unit 1
Ocala, FL 34471-3770
Phone
(352) 401-1218
Fax
(352) 401-1017
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN9374283 FL
Pediatric Nurse Practitioner 363LP0200X APRN9374283 FL
Nurse Practitioner 363L00000X APRN9374283 FL Primary

Addresses

Primary practice location

1234 SE Magnolia Ext Unit 1
Ocala, FL 34471-3770

Mailing address

1234 SE Magnolia Ext Unit 1
Ocala, FL 34471-3770
Phone (352) 401-1218

Other identifiers 1

IdentifierTypeStateIssuer
104078500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KEVIN.TROUP@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210111001943 FL Practitioner - Nurse Practitioner 3678826260 Reassigns benefits to 1 organization

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
Ocala Health Trauma LLCGroup PAC ID 2769632850, 17 clinicians

Practice addresses (Care Compare)

1234 SE Magnolia Extension
Unit 1
Ocala, FL 34471-3770
Phone (352) 629-7979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9374283FLMDPediatric Nurse Practitioner

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Ocala Health Surgical Group LLC CurrentSince Jan 4, 2021 Accepting new patients
Ocala Health Trauma, LLC CurrentSince Jan 4, 2021 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson PastSince Sep 1, 2019 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC PastSince Dec 3, 2023 Accepting new patients

Locations

1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471
Phone (352) 401-1218

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1144707183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 SE MAGNOLIA EXT UNIT 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713770",
            "telephone_number": "352-401-1218",
            "fax_number": "352-401-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 SE MAGNOLIA EXT UNIT 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713770",
            "telephone_number": "352-401-1218",
            "fax_number": "352-401-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUP",
        "first_name": "KEVIN",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-01-28",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN9374283",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN9374283",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9374283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104078500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KEVIN.TROUP@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1234 SE Magnolia Ext Unit 1",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344713770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.