Individual provider Active NPI

Troy Perkins

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Sandusky, OH
National Provider Identifier
1710336375
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.19158 Issued in OH
Practice address
885 N Sandusky Ave
Upper Sandusky, OH 43351-1098
Phone
(419) 294-4991
Fax
(419) 294-6777
NPI assigned
Jun 5, 2016
Last updated
May 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.19158 OH Primary

Addresses

Primary practice location

885 N Sandusky Ave
Upper Sandusky, OH 43351-1098

Mailing address

8755 Don Horton Ave
Las Vegas, NV 89178-7236
Phone (614) 804-8769

Other practice location 1

2780 Homestead Rd Ste 203
Pahrump, NV 89048-5757
Phone (775) 990-9364

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tperkins805762@direct.mercy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20210112002389 NV Practitioner - Nurse Practitioner 9638458995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2780 Homestead Rd
Suite 203
Pahrump, NV 89048-5757
Phone (775) 990-9364

8755 Don Horton Ave
Las Vegas, NV 89178-7236
Phone (775) 990-9364

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican Psychiatry PLLC Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients

Locations

2201 Postal Dr
Ste 9
Pahrump, NV 89048
Phone (702) 492-7208

2780 Homestead Rd
Ste 203
Pahrump, NV 89048
Phone (702) 640-0949

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHAHCD/Endpoint/FHAHCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1710336375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 DON HORTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891787236",
            "telephone_number": "614-804-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511098",
            "telephone_number": "419-294-4991",
            "fax_number": "419-294-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 Homestead Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485757",
            "country_code": "US",
            "telephone_number": "775-990-9364",
            "fax_number": "877-409-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-05",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.19158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tperkins805762@direct.mercy.com",
            "affiliation": "N",
            "address_1": "885 N Sandusky Ave",
            "city": "Upper Sandusky",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433511098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.