Individual provider Active NPI

Tara Suzanne Troyer, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1487080107
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111590 Issued in NE
Practice address
2222 So. 16TH St. Tower a Suite 200
Lincoln, NE 68502
Phone
(402) 481-5490
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 111590 NE Primary

Addresses

Primary practice location

2222 So. 16TH St. Tower a Suite 200
Lincoln, NE 68502

Mailing address

755 Fallbrook Blvd Ste 100
Lincoln, NE 68521-4643
Phone (402) 441-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20131219001395 NE Practitioner - Nurse Practitioner 8820225832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111590NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Bryan Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Superior Street Family Physicians Current Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

755 Fallbrook Blvd
Ste 100
Lincoln, NE 68521
Phone (402) 441-3575

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

2222 S 16th St
Ste 200
Lincoln, NE 68502
Phone (402) 475-9090

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1487080107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 FALLBROOK BLVD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214643",
            "telephone_number": "402-441-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SO. 16TH ST. TOWER A SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68502",
            "telephone_number": "402-481-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROYER",
        "first_name": "TARA",
        "middle_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.