Individual provider Active NPI

Timothy Lincoln Truschel, M.D.

  • Geriatric Psychiatry Physician
  • Salem, OR
National Provider Identifier
1164541439
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD25888 Issued in OR
Practice address
1245 Edgewater St NW
Salem, OR 97304-4049
Phone
(503) 588-5816
Fax
(503) 588-5803
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 00023577 WA
Geriatric Psychiatry Physician 2084P0805X MD25888 OR Primary

Addresses

Primary practice location

1245 Edgewater St NW
Salem, OR 97304-4049

Mailing address

1245 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 588-5816

Other identifiers 2

IdentifierTypeStateIssuer
20-8417623OtherWAFEDERAL TAX ID
602-688-517OtherWAUNIFIED BUSINESS ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.truschel.p1@direct.nwhumanservices.nextgenshare.com Direct Northwest Human Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000533 OR Practitioner - Psychiatry 4688768260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Human Services IncGroup PAC ID 7012825797, 33 clinicians

Practice addresses (Care Compare)

1233 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 378-7526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00023577WAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Human Services, Inc. CurrentSince Aug 9, 2014 Accepting new patients
Northwest Human Services, Inc. CurrentSince Aug 9, 2014 Accepting new patients

Locations

180 Atwater St N
Monmouth, OR 97361
Phone (503) 378-7526

1233 Edgewater St NW
Ste B
Salem, OR 97304
Phone (503) 378-7526

1245 Edgewater St NW
Salem, OR 97304
Phone (503) 378-7526

1233 Edgewater St NW
Salem, OR 97304
Phone (503) 378-7526

Interoperability endpoints

  • Direct secure messaging: timothy.truschel.p1@direct.nwhumanservices.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1164541439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-588-5816",
            "fax_number": "503-588-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-588-5816",
            "fax_number": "503-588-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSCHEL",
        "first_name": "TIMOTHY",
        "middle_name": "LINCOLN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "00023577",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OR",
            "license": "MD25888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "20-8417623",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFIED BUSINESS ID",
            "identifier": "602-688-517",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.truschel.p1@direct.nwhumanservices.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Northwest Human Services, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1233 Edgewater St NW",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973044049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.