Timothy Stock

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2014022032 Issued in MO

Practice address

793 Cross Creek Dr
Creve Coeur, MO 63141-6509

Phone

(314) 220-1017

NPI assigned

Jan 28, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Critical Care Services PCGroup PAC ID 8729992060, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
• Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062
• Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
• St Elizabeth Florence Hospital, Florence, KY, CCN 180045
• Community Hospital Hospital, Grand Junction, CO, CCN 060054

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tstock305175@ecommunitydirect.com

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.

• Critical Care Services, P.C.

  • Multi-Specialty Clinic/Center
  • St. Louis, MO
  • NPI 1942256250

  Acute Care

  Medicare reassignment Care Compare group NPD

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

• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation
• Havasu Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Florence, KY
  • NPI 1154365062
  Care Compare affiliation
• Summit Healthcare Association

  • Oncology Clinic/Center
  • Show Low, AZ
  • NPI 1083736128

  Hospital

  Care Compare affiliation
• Summit Healthcare Association

  • Rural Acute Care Hospital
  • Show Low, AZ
  • NPI 1144209271
  Care Compare affiliation
• Summit Healthcare Medical Associates

  • Rural Health Clinic/Center
  • Overgaard, AZ
  • NPI 1770700767

  Hospital

  Care Compare affiliation
• Takoma Regional Hospital Inc

  • General Acute Care Hospital
  • Greeneville, TN
  • NPI 1699819003
  Care Compare affiliation

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1306236443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 CROSS CREEK DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416509",
            "telephone_number": "314-220-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 CROSS CREEK DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416509",
            "telephone_number": "314-220-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2014022032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Jo Steinback, L.P.C.
• Sara Steinhart, M.S., CF-SLP
• Karen Steitz
• STL Anesthesia, LLC
• STL Interventional Oncology Interventional Radiology Clinics LLC
• Rachel Ann Stott, FNP
• Dennis K Stovall, D.M.D.
• Kelsey Straatmann, MA
• Kimberly Sue Streff, MS, CCC-SLP,BCBA,LBA
• Shelley Stretch, LPC

• Acute Care Nurse Practitioner in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Acute Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.

Verify at the official NPI Registry.