Mary Jo Trobaugh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30919 Issued in TN

Practice address

1030 Winter Gap Rd
Oliver Springs, TN 37840-1504

Phone

(865) 435-3918

NPI assigned

Jan 13, 2022

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Segue Health Partners LLCGroup PAC ID 5496020521, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Segue Health Partners LLC

  • Family Medicine Physician
  • Cordova, TN
  • NPI 1073040556
  Medicare reassignment Care Compare group NPD
• Abercrombie Radiological Consultants Inc

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1942207154
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1508517236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 WINTER GAP RD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378401504",
            "telephone_number": "865-435-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WINTER GAP RD",
            "city": "OLIVER SPRINGS",
            "state": "TN",
            "postal_code": "378401504",
            "telephone_number": "865-435-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROBAUGH",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-06-21",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Loyd Stallings, LADACII, SAP
• Donna Stanton
• Steven Teague
• Tennessee Dental Professionals, PC (Dental Arts of Oliver Springs)
• Tammy June Thacker, LPN
• United Apothecary Inc (Riddle Drugs)
• United Apothecary Inc (Riddle Drug #1)
• Vip Family Home LLC
• Vip Primary Care LLC
• Volunteer Care Services LLC

• Family Nurse Practitioner in Oliver Springs, TN
• Providers in Oliver Springs, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.