MARLA M TROYER FNP
NPI 1114482676
Nurse Practitioner - Family in Plymouth, IN

Active since February 08, 2019PECOS EnrolledAccepts Medicare Assignment
209 E JEFFERSON ST, PLYMOUTH, IN 46563(574) 948-5100(574) 335-0745 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Nov 9, 2023, Feb 8, 2019 (3 updates tracked since 2019).

About Marla M Troyer Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLA M TROYER FNP (NPI 1114482676) is an individual family provider in Plymouth, Indiana, licensed in Indiana (71008750A) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114482676
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARLA M TROYERCredential: FNP
Location Address209 E JEFFERSON STPlymouth, IN 46563-1861
Mailing Address707 Cedar St Ste 405South Bend, IN 46617-2059
Fax(574) 335-0745
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 8, 2019
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1114482676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71008750A
209 E JEFFERSON ST, Plymouth, IN 46563

Other Names 1

Former Name (1)Marla M Hurford

Other Identifiers 2

Other1102254257IN · Anthem
Medicaid300026662IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marla M Troyer Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921348285
PECOS Enrollment IDI20190322001523
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services44 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
41 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services19 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
27 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims11 services$171.12 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers78 claims275 services$6.16 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers16 claims16 services$290.66 avg. paid by Medicare
Adjunctive continuous glucose monitor or receiver E2102
DME-Other DME · category DE017N
2 suppliers13 claims13 services$11.45 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers373 claims373 services$184.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Pharmacist
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Family Medicine
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563
Nurse Practitioner (Family)
209 E JEFFERSON ST
PLYMOUTH, IN 46563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marla Troyer's NPI number?

The NPI number for Marla Troyer is 1114482676. It was assigned to this individual provider in the NPPES registry on February 8, 2019. The provider is also known as Marla M Hurford.

Where is Marla Troyer located?

Marla Troyer practices at 209 E Jefferson St, Plymouth, IN 46563. The listed phone number is (574) 948-5100.

What is Marla Troyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marla Troyer enrolled in Medicare?

Yes. Marla Troyer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marla Troyer accept?

Health plans from CareSource list Marla Troyer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marla Troyer affiliated with any hospitals?

According to CMS data, Marla Troyer is affiliated with Saint Joseph Regional Medical Center and Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for Marla Troyer was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.