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TROYIA S.M. ANDERSON
NPI 1861021099
Nurse Practitioner in Omaha, NE

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
42ND @ DEWEY ST, OMAHA, NE 68198(402) 552-6007 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Troyia S.m. Anderson NPPES

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

TROYIA S.M. ANDERSON (NPI 1861021099) is an individual nurse practitioner in Omaha, Nebraska, licensed in Nebraska (113118) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861021099
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTROYIA S.M. ANDERSON
Location Address42ND @ DEWEY STOmaha, NE 68198-1023
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Phone(402) 552-6007
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1861021099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NE · 113118
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
42ND @ DEWEY ST, Omaha, NE 68198
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Troyia S.m. Anderson 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 ID2365864568
PECOS Enrollment IDI20200616003117
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.

Medicare Billing Reassignment

Medicare enrollment records show Troyia Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unmc Physicians
10 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739

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 68198 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 20

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

JASON LEMEN LMHP LADC
Counselor (Mental Health)
42ND @ DEWEY ST
OMAHA, NE 68198
Douglas County (402) 552-6007
MARK J AKSAMIT PAC
Physician Assistant
42ND @ DEWEY ST
OMAHA, NE 68198
Douglas County (402) 552-6007
DR. KENNETH ZOUCHA MD
Pediatrics
42ND @ DEWEY ST
OMAHA, NE 68198
Douglas County (402) 552-6007
ZOE A FEILNER PA-C
Physician Assistant
42ND @ DEWEY ST
OMAHA, NE 68198
Douglas County (402) 552-6007
LAURA SCHUTTE-LUNDY
Counselor (Professional)
42ND @ DEWEY ST
OMAHA, NE 68198
Douglas County (402) 552-6007
DR. ANDREW BAUMGARTNER M.D.
Psychiatry & Neurology (Psychiatry)
42ND @ DEWEY ST
OMAHA, NE 68198
Douglas County (402) 552-6007
AISLYN NICOLE TYLER PMSW, PLMHP
Social Worker (Clinical)
42ND @ DEWEY ST
OMAHA, NE 68198
Douglas County (402) 996-0622
MELISSA A ALLISON PA-C
Physician Assistant
42ND @ DEWEY ST
OMAHA, NE 68198
Douglas County (402) 552-6007

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 Troyia Anderson's NPI number?

The NPI number for Troyia Anderson is 1861021099. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Troyia Anderson located?

Troyia Anderson practices at 42nd @ Dewey St, Omaha, NE 68198. The listed phone number is (402) 552-6007.

What is Troyia Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Troyia Anderson enrolled in Medicare?

Yes. Troyia Anderson 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 Troyia Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Troyia Anderson reassigns Medicare benefits to Unmc Physicians (Omaha, NE). 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 Troyia Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Troyia Anderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 2 other insurers list Troyia Anderson 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 Troyia Anderson was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.