TROUTT MEDICAL CLINIC LLC
NPI 1487570529
Nurse Practitioner - Family in Nashville, AR

Active since June 24, 2026CLIA 04D2347684 · Waiver
119 MEDICAL CIR STE 1, NASHVILLE, AR 71852(870) 912-6027(870) 912-6026 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Troutt Medical Clinic Llc NPPES

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

TROUTT MEDICAL CLINIC LLC (NPI 1487570529) is a healthcare organization registered as a family in Nashville, Arkansas and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Michael A Troutt, Owner, as its authorized official.

NPPES Registry Identity

NPI1487570529
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTROUTT MEDICAL CLINIC LLC
Location Address119 MEDICAL CIR STE 1Nashville, AR 71852-8613
Mailing Address119 Medical Cir Ste 1Nashville, AR 71852-8613 · (870) 912-6027 · Fax (870) 912-6026
Fax(870) 912-6026
Organization SubpartNo
Authorized OfficialMichael A TrouttOwner · (870) 557-5718
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1487570529 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
119 MEDICAL CIR STE 1, Nashville, AR 71852

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Troutt Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Troutt Medical Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1659760635
119 MEDICAL CIR STE 1
Nashville, AR 71852
(870) 912-6027
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2347684

Troutt Medical Clinic LLC · Nashville, AR
Active · expires Jul 21, 2028
CLIA Number04D2347684
Laboratory TypePractitioner Other
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorMichael A. Troutt
Laboratory Phone(870) 912-6027
Laboratory LocationTroutt Medical Clinic LLC119 Medical Circle, Suite 1, Nashville, AR 71852
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Troutt Medical Clinic LLC's NPI number?

The NPI number for Troutt Medical Clinic LLC is 1487570529. It was assigned to this organization in the NPPES registry on June 24, 2026.

Where is Troutt Medical Clinic LLC located?

Troutt Medical Clinic LLC is located at 119 Medical Cir Ste 1, Nashville, AR 71852. The listed phone number is (870) 912-6027.

What is Troutt Medical Clinic LLC's specialty?

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

Is Troutt Medical Clinic LLC enrolled in Medicare?

Yes. Troutt Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Troutt Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Troutt Medical Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Troutt Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2347684) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Troutt Medical Clinic LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.