LAURIE ANN TRUOG (MD) – Child & Adolescent Psychiatry Physician, NPI 1992914659

LAURIE ANN TRUOG (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in Child & Adolescent Psychiatry Physician. They hold the professional credentials MD. They hold a License No. ME0103475 (FL). The NPI Number for LAURIE ANN TRUOG (MD) is 1992914659

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE ANN TRUOG (MD)
NPI
1992914659
Phone
(904) 333-2854
Address
13853 HILLANDALE DR
Enumeration Date
21 May 2007
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
5733341100
Graduation Year
2004 (22 years ago)
PAC ID
5092967281
Group Practice PAC ID
9436142460
Professional Enrollment ID
I20190320001024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LAURIE ANN TRUOG (MD)

  • 13853 HILLANDALE DR

    JACKSONVILLE, FL 322251901

    Phone: (904) 333-2854

    Type: Mailing

  • 5776, St Augustine Road, Lakewood, Jacksonville, Duval County, Florida, 32207, United States

    JACKSONVILLE, FL 322078030

    Phone: (904) 448-4700

    Type: Location

  • 201 Simone Way

    St Augustine, FL 320867750

    Phone: (904) 829-1770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121217000163IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32225)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436142460View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Clinical Social WorkerMO
Mental Health CounselorMO
Mental Health CounselorMO
Nurse PractitionerIL
Mental Health CounselorMO
Nurse PractitionerMO
Mental Health CounselorMO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

What identifier follows LAURIE ANN TRUOG (MD) across health systems?
The NPI 1992914659 uniquely identifies LAURIE ANN TRUOG (MD) in U.S. healthcare data.
Is LAURIE ANN TRUOG (MD) currently accepting referrals based on NPI status?
Registry metadata lists LAURIE ANN TRUOG (MD) as active.
What does the directory say LAURIE ANN TRUOG (MD) does?
Insurance directories may phrase it differently, but here LAURIE ANN TRUOG (MD) maps to Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is LAURIE ANN TRUOG (MD) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, LAURIE ANN TRUOG (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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