Troy Modisette, PMHNP
NPI 1255974549 · Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Troy Modisette, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in Baltimore, MD (NPI 1255974549).
Provider details
- NPI number
- 1255974549
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- R148972 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
315 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 193 | $113 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 75 | $68 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 25 | $73 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 22 | $117 |
Typical Medicare-allowed amounts for these services range $68–$117 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-20
- Last updated
- 2020-10-31
- Certified
- 2020-10-31
Frequently asked questions
- What is Troy Modisette's NPI number?
- Troy Modisette's National Provider Identifier (NPI) is 1255974549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Troy Modisette's specialty?
- Troy Modisette is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Troy Modisette located?
- Troy Modisette's practice location on file with NPPES is 2401 W Belvedere Ave, Baltimore, MD 21215-5216.
- What is Troy Modisette's phone number?
- The practice phone number listed in the NPPES registry for Troy Modisette is (410) 601-1000.
- Does Troy Modisette accept Medicare?
- Troy Modisette is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Troy Modisette's NPI active?
- Yes — Troy Modisette's NPI (1255974549) is active in the NPPES registry as of the last update on 2020-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.