Timothy Michael Baumgarte
Individual provider Active NPI Family Nurse Practitioner · Redmond, OR
NPI 1114584331 · NPPES record last updated May 29, 2020
Key facts
- NPI
- 1114584331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 201903853NP-PP (OR)
- Practice address
- 211 NW Larch Ave
Redmond, OR 97756-1357 - Phone
- (541) 548-2164
- NPI assigned
- May 22, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Charles Health System Inc
Practice addresses (Care Compare)
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
Hospital & facility affiliations
- St. Charles Home Health Services
- Partners Home Health
- Mission Home Health of Bend
- St Charles Medical Center - Bend
- St Charles Medical Center Prineville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190910003786 | OR | Practitioner - Nurse Practitioner | 0244569648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| St. Charles Health System, Inc. | Current |
Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201903853NP-PP | OR | Yes |
Addresses
Primary practice location
211 NW Larch Ave
Redmond, OR 97756-1357
Mailing address
2262 NE Baron CT
Bend, OR 97701-6606
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbaumgarte81514@secure.stcharleshealthcare.org |
Other providers in Redmond, OR
- Erin Murphy Bartlett
- Mackenzie Bartz
- Sue Bassett
- Timothy Ryan Batterson
- James D Bauer
- Tracy Brenda Bayne
- BD Redmond I, LLC
- BD Redmond IV LLC
- John D Beals
- Tanya Mae Beard
All providers in Redmond, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.