Individual provider Active NPI

Jean Ann Trost, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Sun Prairie, WI
National Provider Identifier
1962164798
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10932-33 Issued in WI
Practice address
425 W Main St Ste 201
Sun Prairie, WI 53590-2971
Phone
(608) 318-2233
Fax
(608) 318-2234
NPI assigned
Oct 8, 2021
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 10932-33 WI Primary

Addresses

Primary practice location

425 W Main St Ste 201
Sun Prairie, WI 53590-2971

Mailing address

425 W Main St Ste 201
Sun Prairie, WI 53590-2971
Phone (608) 318-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20211130000068 WI Practitioner - Nurse Practitioner 8022408475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercyland Psychiatry IncGroup PAC ID 3274897897, 2 clinicians

Practice addresses (Care Compare)

425 W Main St
Suite 201
Sun Prairie, WI 53590-2971
Phone (608) 318-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10932-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercyland Psychiatry Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

425 W Main St
Ste 201
Sun Prairie, WI 53590
Phone (608) 318-2233

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26294/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jean.trost.1@26294.direct.athenahealth.com

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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1962164798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W MAIN ST STE 201",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902971",
            "telephone_number": "608-318-2233",
            "fax_number": "608-318-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W MAIN ST STE 201",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902971",
            "telephone_number": "608-318-2233",
            "fax_number": "608-318-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROST",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10932-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.