Individual provider Active NPI

Jessica J Troyer, DNP, APRN, AGCNS-BC

  • Clinical Nurse Specialist
  • Freeport, MI
National Provider Identifier
1598648461
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
470421163 Issued in MI
Practice address
6500 Fighter Rd
Freeport, MI 49325-9434
Phone
(269) 838-7628
Fax
(269) 838-7628
NPI assigned
Jul 29, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 470421163 MI Primary

Addresses

Primary practice location

6500 Fighter Rd
Freeport, MI 49325-9434

Mailing address

6500 Fighter Rd
Freeport, MI 49325-9434
Phone (269) 838-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250916003074 MI Practitioner - Nurse Practitioner 2860996626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Family Medicine and Urgent CareGroup PAC ID 4981949179, 6 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

13811 Myrtle Dr
Dewitt, MI 48820-8509
Phone (959) 400-2889

4775 Village Dr
Grand Ledge, MI 48837-8107
Phone (517) 412-2240

7612 Gratiot Ave
Detroit, MI 48213-2822
Phone (517) 803-7740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
470421163MIMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Family Medicine and Urgent Care CurrentSince Jul 10, 2025 Accepting new patients

Locations

7612 Gratiot Ave
Detroit, MI 48213
Phone (313) 397-1907

6531 W Michigan Ave
#C
Jackson, MI 49201
Phone (517) 750-3822

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1598648461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 FIGHTER RD",
            "city": "FREEPORT",
            "state": "MI",
            "postal_code": "493259434",
            "telephone_number": "269-838-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 FIGHTER RD",
            "city": "FREEPORT",
            "state": "MI",
            "postal_code": "493259434",
            "telephone_number": "269-838-7628",
            "fax_number": "269-838-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROYER",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "DNP, APRN, AGCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MI",
            "license": "470421163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, MI

Sources for this page

Verify at the official NPI Registry.