Active NPI
Beatrice K Troxell, NP
- Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1376542126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71010493A
- Practice address
- 11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701 - Phone
- (260) 672-6443
- NPI assigned
- Jul 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 01474 | OH | |
| Nurse Practitioner | 363L00000X | 71010493A | IN | Primary |
Addresses
Primary practice location
11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-8380
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4476902 | Medicaid | MI | |
| 000000 312026 | Other | OH | ANTHEM 344428256 |
| 000000312026 | Other | OH | ANTHEM 344428794 |
| 2058142 | Medicaid | OH | |
| 4468070 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010493A | IN | MD | Nurse Practitioner |
| 01474 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1376542126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11115 PARKVIEW PLAZA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701",
"telephone_number": "260-672-6443"
}
],
"practiceLocations": [
{
"address_1": "2142 N Cove Blvd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436063895",
"country_code": "US",
"telephone_number": "419-291-8380",
"fax_number": "419-479-6937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROXELL",
"first_name": "BEATRICE",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "01474",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71010493A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4476902",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM 344428256",
"identifier": "000000 312026",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM 344428794",
"identifier": "000000312026",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2058142",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4468070",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.