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TALISHA ETTINA LEEANN TROUTT FNP
NPI 1639696784
Nurse Practitioner - Family in Johnson City, TN

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
365 STOUT DRIVE, SUITE 160, JOHNSON CITY, TN 37614(423) 439-4225(423) 439-4560 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2022, Jul 21, 2022, Mar 30, 2020 and 3 more (6 updates tracked since 2017).

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

NPI1639696784
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTALISHA ETTINA LEEANN TROUTTCredential: FNP
Location Address365 STOUT DRIVE, SUITE 160Johnson City, TN 37614-3761
Mailing AddressPo Box 70403Johnson City, TN 37614-1703 · (423) 439-4381 · Fax (423) 439-4543
Phone(423) 439-4225
Fax(423) 439-4560
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 29, 20226 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1639696784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 23083
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 23083 (TN)
365 STOUT DRIVE, Johnson City, TN 37614
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12020 Brookside Dr Ste 20Kingsport, TN 37660-4658 · Phone (423) 247-7030 · Fax (423) 247-7033
Location 2132 Old Gray Station RdGray, TN 37615 · Phone (423) 467-8001 · Fax (423) 467-8003
Location 31901 S Shady StMountain City, TN 37683-2021 · Phone (423) 727-1150 · Fax (423) 727-1152
Location 42151 Century LnJohnson City, TN 37604-4469 · Phone (423) 926-2500 · Fax (423) 926-5999

Other Identifiers 1

MedicaidQ036951TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

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.

PECOS PAC ID2961759113
PECOS Enrollment IDI20180719002077
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.

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.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

STANLEY LEE RIDNER III
Nurse Practitioner
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225
DONNA C. FRAYSIER MSN, ACNS-BC, APN
Clinical Nurse Specialist (Adult Health)
365 STOUT DRIVE, NICKS HALL, ROOM 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225
MEIRA YASIN
Nurse Practitioner (Psychiatric/Mental Health)
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614
Washington County (423) 433-6057
EAST TENNESSEE STATE UNIVERSITY
Clinic/Center (Multi-Specialty)
365 STOUT DRIVE, NICKS HALL RM 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225
RETHA D GENTRY DNP
Nurse Practitioner (Family)
365 STOUT DRIVE, NICKS HALL ROOM 160
JOHNSON CITY, TN 37614
Washington County (423) 439-4225

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.

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.