Individual provider Active NPI

Laura J Timm, DNP, FNP-C

  • Family Nurse Practitioner
  • Eaton Rapids, MI
National Provider Identifier
1043940430
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704282354NSA220FG Issued in MI
Practice address
1500 S Main St
Eaton Rapids, MI 48827-1952
Phone
(517) 663-2671
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704282354NSA220FG MI Primary

Addresses

Primary practice location

1500 S Main St
Eaton Rapids, MI 48827-1952

Mailing address

2483 E Kinsel Hwy
Charlotte, MI 48813-9720
Phone (517) 898-0498

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220825001317 MI Practitioner - Nurse Practitioner 7012391063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

1015 Charlevoix Dr
Grand Ledge, MI 48837-2278
Phone (517) 627-0100

2682 E Grand River Ave
East Lansing, MI 48823-5608

616 Meijer Dr
Charlotte, MI 48813-8457
Phone (517) 541-5935

800 E Columbia St
Mason, MI 48854-1381

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327
  • Sparrow Ionia Hospital Hospital, Ionia, MI, CCN 231331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704282354NSA220FGMIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Michigan Pain Center PLLC CurrentSince Apr 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Aug 23, 2023 Accepting new patients
Sparrow Ionia Hospital Past Accepting new patients
Sparrow Carson Hospital Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935

1015 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 627-0100

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

205 S Dexter St
Ionia, MI 48846
Phone (517) 482-7246

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

1540 Lake Lansing Rd
Ste G
Lansing, MI 48912

1540 Lake Lansing Rd
Ste G6
Lansing, MI 48912
Phone (517) 482-7246

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790

1200 E Michigan Ave
Lowr
Lansing, MI 48912
Phone (517) 364-5252

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1043940430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 E KINSEL HWY",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488139720",
            "telephone_number": "517-898-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271952",
            "telephone_number": "517-663-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704282354NSA220FG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton Rapids, MI

Sources for this page

Verify at the official NPI Registry.