Individual provider Active NPI

Mikayla Troyer

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, IL
National Provider Identifier
1710848585
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209034031 Issued in IL
Practice address
213 NW 10TH St
Fairfield, IL 62837-1216
Phone
(618) 842-4617
Fax
(618) 842-4743
NPI assigned
Nov 20, 2025
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 209034031 IL Primary

Addresses

Primary practice location

213 NW 10TH St
Fairfield, IL 62837-1216

Mailing address

303 NW 11TH St
Fairfield, IL 62837-1206
Phone (618) 842-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20251203001996 IL Practitioner - Nurse Practitioner 3678066172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Memorial Hospital AssociationGroup PAC ID 5698671741, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

213 NW 10TH St
Suite a
Fairfield, IL 62837-1219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209034031ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Memorial Hospital Association CurrentSince Nov 19, 2025 Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Nov 19, 2025 Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Nov 19, 2025 Accepting new patients

Locations

213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617

303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1710848585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NW 11TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371206",
            "telephone_number": "618-842-2611",
            "fax_number": "618-842-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 NW 10TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371216",
            "telephone_number": "618-842-4617",
            "fax_number": "618-842-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROYER",
        "first_name": "MIKAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209034031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IL

Sources for this page

Verify at the official NPI Registry.