Ian Michael Troesoyer, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11313517-4405 Issued in UT

Practice address

1515 N 400 E Ste 104
North Logan, UT 84341-7595

Phone

(435) 755-6061

NPI assigned

Jun 6, 2019

Last updated

Sep 5, 2019By the provider in NPPES

Sex

Male

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 UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bear Lake Community Health Center, Inc.

  dba Bear Lake Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Garden City, UT
  • NPI 1689754475
  Medicare reassignment NPD
• Bear Lake Community Health Center, Inc.

  dba Box Elder Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Brigham City, UT
  • NPI 1558806125
  NPD
• Southeastern District Health Department

  dba Southeastern Idaho Public Health

  • Public Health or Welfare Agency
  • Pocatello, ID
  • NPI 1750526216
  NPD (past)
• State of Idaho

  dba Southeastern District Health Department

  • Public Health or Welfare Agency
  • Pocatello, ID
  • NPI 1063576445
  NPD (past)
• State of Idaho

  dba Southeastern District Health Department

  • Home Health Agency
  • Pocatello, ID
  • NPI 1649277393
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1841859501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W 100 N STE 210",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329826",
            "telephone_number": "435-755-6061",
            "fax_number": "435-994-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N 400 E STE 104",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843417595",
            "telephone_number": "435-755-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 W 100 N Ste 110",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "UT",
            "postal_code": "843329826",
            "country_code": "US",
            "telephone_number": "435-755-6061",
            "fax_number": "435-374-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROESOYER",
        "first_name": "IAN",
        "middle_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11313517-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stevens Chiropractic PC
• Evan Stewart, LMFT
• Jacob Ryan Stewart, MD
• Team Recovery (Golden Steps)
• Brady Michael Thomson, DDS
• University of Utah Cache Valley Emergency Medicine
• Valley Obstetrics and Gynecology, PC
• Vision Care 20/20 of Nevada Inc
• Visionhealth Eyecare PLLC
• Jennifer Day Walker, MA, MMFT, LMFT

• Family Nurse Practitioner in North Logan, UT
• Providers in North Logan, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.