MICAH B TROUP – Gerontology Nurse Practitioner, NPI 1871202291

MICAH B TROUP is a healthcare provider. based in Walled lake, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. AG05220065 (MI). The NPI Number for MICAH B TROUP is 1871202291

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MICAH B TROUP
NPI
1871202291
Phone
(248) 478-1500
Address
100 N Pond Dr
Enumeration Date
15 November 2022
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484781500
Graduation Year
2021 (5 years ago)
PAC ID
6406227040
Group Practice PAC ID
3274506092
Professional Enrollment ID
I20230119000229
Address ID
MI481525007LI18302RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MICAH B TROUP

  • 100 N Pond Dr

    Walled Lake, MI 483903079

    Phone: (248) 478-1500

    Fax: (248) 478-2798

    Type: Location

  • 18302 MIDDLEBELT RD

    LIVONIA, MI 481525007

    Phone: (248) 478-1500

    Fax: (248) 478-2798

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 127 Open Payments records for all available years, with a total value of $2,550.

Total Amount is formed as General ($2,550) + Research ($0) + Ownership ($0) = $2,550.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($544).

Total Amount

$2,550

General + Research + Ownership

Payments

127

Total payment records

General Amount

$2,550

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-19

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
I20230119000229INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4719$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
81003Automated urinalysis test1212$0
View full utilization report →

Insurance plans in this area (ZIP 48390)

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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: 3274506092View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
Nurse PractitionerMI
Nephrology, Internal MedicineMI
Nurse PractitionerMI
Internal Medicine, NephrologyMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICAH B TROUP?
MICAH B TROUP — NPI 1871202291 — is the standard way to identify this listing.
Does CMS list MICAH B TROUP as active?
Yes — MICAH B TROUP is active in the NPI listing used on this page.
What taxonomy line describes MICAH B TROUP?
For research purposes, treat MICAH B TROUP as Gerontology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MICAH B TROUP list a practice location?
Patients near Walled Lake, Michigan may find MICAH B TROUP in results; validate coverage separately.
Why does MICAH B TROUP have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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