TALISHA ETTINA LEEANN TROUTT FNP
NPI 1639696784
Nurse Practitioner - Family in Johnson City, TN
About Talisha Ettina Leeann Troutt Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TALISHA ETTINA LEEANN TROUTT FNP (NPI 1639696784) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (23083) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Talisha Ettina Leeann Troutt 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.
Medicare Billing Reassignment
Medicare enrollment records show Talisha Troutt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Johnson City, TN 37614
- Reassigned Medicare billing, Tennessee enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNSON CITY, TN 37614
JOHNSON CITY, TN 37614
JOHNSON CITY, TN 37614
JOHNSON CITY, TN 37614
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 Talisha Troutt's NPI number?
The NPI number for Talisha Troutt is 1639696784. It was assigned to this individual provider in the NPPES registry on August 29, 2017.
Where is Talisha Troutt located?
Talisha Troutt practices at 365 Stout Drive Suite 160, Johnson City, TN 37614. The listed phone number is (423) 439-4225.
What is Talisha Troutt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Talisha Troutt enrolled in Medicare?
Yes. Talisha Troutt 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.
Which organization bills Medicare for Talisha Troutt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Talisha Troutt reassigns Medicare benefits to East Tennessee State University (Johnson City, TN). The 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 Talisha Troutt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Talisha Troutt accept?
Health plans from BlueCross BlueShield of Tennessee list Talisha Troutt 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.
When was this NPI record last updated?
The NPPES record for Talisha Troutt was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Talisha Ettina Leeann Troutt, FNP · NPI 1639696784
Family physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since August 29, 2017.
## Identity
- **NPI:** 1639696784 (Entity type: Individual)
- **Enumerated:** August 29, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23083 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 365 STOUT DRIVE, SUITE 160, Johnson City, TN 37614-3761
- **Phone:** (423) 439-4225 · **Fax:** (423) 439-4560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** East Tennessee State University (NPI 1568570273, Johnson City, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 29, 2022
- **Other identifiers:** Medicaid Q036951 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639696784) · Data from the CMS NPPES public registry.