Individual provider Active NPI

Stephania Kay Campbell Timothy, MD

  • Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1174512347
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0040596 Issued in CO
Practice address
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone
(719) 776-8040
Fax
(719) 776-6820
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00047323 WA
Surgery Physician 208600000X DR.0040596 CO Primary

Addresses

Primary practice location

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

Mailing address

711 N Taylor St
Gunnison, CO 81230-2296
Phone (970) 641-1456

Other practice location 1

1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681

Other practice location 2

95 Stafford Ln
Delta, CO 81416-3465
Phone (970) 874-8062

Other practice location 3

711 N Taylor St
Gunnison, CO 81230-2296
Phone (970) 641-3927

Other identifiers 3

IdentifierTypeStateIssuer
68106807MedicaidCO
0216073OtherWAL&I
8470361MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephania.timothy.1@11629.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040115000254 CO Practitioner - General Surgery 7012818974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Emergency Surgeons PCGroup PAC ID 6709213168, 9 clinicians
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Practice addresses (Care Compare)

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 795-3375

95 Stafford LN
Delta, CO 81416-3465
Phone (970) 874-8026

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0040596COMDSurgery Physician
MD00047323WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital Current Accepting new patients
Delta County Memorial Hospital CurrentSince Aug 6, 2023 Accepting new patients
Premier Emergency Surgeons PC Surgery CurrentSince Jan 7, 2020 Accepting new patients
Premier Surgeons PC Surgery CurrentSince Jun 1, 2022 Accepting new patients
Delta County Memorial Hospital CurrentSince Aug 6, 2023 Accepting new patients
Trauma & Emergency Surgical Services, PC Surgery PastSince Jun 13, 2006 Accepting new patients
Delta County Memorial Hospital Surgery Past Accepting new patients

Locations

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

95 Stafford Ln
Delta, CO 81416
Phone (790) 874-8026

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

7780 S Broadway
Ste 250
Littleton, CO 80122
Phone (303) 795-3375

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

Interoperability endpoints

  • Direct secure messaging: stephania.timothy.1@12539.direct.athenahealth.com

Organizations & group practices 7

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 4

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1174512347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302296",
            "telephone_number": "970-641-1456",
            "fax_number": "970-641-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076819",
            "telephone_number": "719-776-8040",
            "fax_number": "719-776-6820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-7681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Stafford Ln",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814163465",
            "country_code": "US",
            "telephone_number": "970-874-8062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 N Taylor St",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "CO",
            "postal_code": "812302296",
            "country_code": "US",
            "telephone_number": "970-641-3927",
            "fax_number": "970-641-4461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMOTHY",
        "first_name": "STEPHANIA",
        "middle_name": "KAY CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00047323",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0040596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68106807",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0216073",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8470361",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephania.timothy.1@11629.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Gunnison Valley Hospital CO-General Surgery Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD Exchange",
            "address_1": "711 N Taylor St",
            "city": "Gunnison",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812302296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.