Active NPI
Timothy Lincoln Truschel, M.D.
- Geriatric Psychiatry Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- MD25888
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-8417623 | Other | WA | FEDERAL TAX ID |
| 602-688-517 | Other | WA | UNIFIED BUSINESS ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00023577 | WA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Human Services, Inc. | Current | Accepting new patients | |
| Northwest Human Services, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Salem, OR
- NPI 1871530758
-
- Federally Qualified Health Center (FQHC)
- Salem, OR
- NPI 1497014914
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.