Timothy Robert La Gasse, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704249602 Issued in MI

Practice address

401 Connable Ave
Petoskey, MI 49770

Phone

(231) 487-4520

NPI assigned

Jan 10, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Helen Newberry Joy HospitalGroup PAC ID 5799671285, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helen Newberry Joy Hospital Hospital, Newberry, MI, CCN 231304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlagasse129985@mymichiganhealth.midirect.net
• Direct secure messaging: tlagasse@pspc.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Helen Newberry Joy Hospital & Healthcare Center

  • Critical Access Hospital
  • Newberry, MI
  • NPI 1497742050

  MI

  Medicare reassignment Care Compare group NPD
• Helen Newberry Joy Hospital & Healthcare Center

  • Rural Health Clinic/Center
  • Curtis, MI
  • NPI 1972650935

  MI, Single Specialty

  Medicare reassignment Care Compare group NPD
• Ecs Northern Michigan PC

  • Emergency Medicine Physician
  • Petoskey, MI
  • NPI 1992231377

  MI, Single Specialty

  Medicare reassignment NPD
• Petoskey Surgeons, P.C.

  • Surgery Physician
  • Petoskey, MI
  • NPI 1730145574

  MI, Single Specialty

  Medicare reassignment NPD
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549

  MI, Single Specialty

  Medicare reassignment NPD
• Helen Newberry Joy Hospital & Healthcare Center

  • Nursing Facility/Intermediate Care Facility
  • Newberry, MI
  • NPI 1164545323
  Care Compare group NPD
• Helen Newberry Joy Hospital & Healthcare Center

  • Rural Health Clinic/Center
  • Engadine, MI
  • NPI 1033266002
  Care Compare group
• Helen Newberry Joy Hospital & Healthcare Center

  • Rural Health Clinic/Center
  • Newberry, MI
  • NPI 1073636239
  Care Compare group
• Helen Newberry Joy Hospital & Healthcare Center

  • Rural Health Clinic/Center
  • Eckerman, MI
  • NPI 1164016754
  Care Compare group
• Helen Newberry Joy Hospital & Healthcare Center

  • Critical Access Hospital
  • Newberry, MI
  • NPI 1174916886
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Helen Newberry Joy Hospital & Healthcare Center

  • Critical Access Hospital
  • Newberry, MI
  • NPI 1497742050

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1013424191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "WALLOON LAKE",
            "state": "MI",
            "postal_code": "497960185",
            "telephone_number": "231-535-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA GASSE",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704249602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Petoskey, MI
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.