NPIMap

Individual provider Active NPI

Timothy I Hilton, APRN-C

  • Gerontology Nurse Practitioner
  • Salem, OR
National Provider Identifier
1376062794
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
10017536 Issued in OR
Practice address
388 State St Ste 420
Salem, OR 97301-3581
Phone
(541) 368-5986
Fax
(866) 624-8745
NPI assigned
Sep 18, 2017
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN2272748 MA
Gerontology Nurse Practitioner 363LG0600X 1027411 TX
Gerontology Nurse Practitioner 363LG0600X 10017536 OR Primary

Addresses

Primary practice location

388 State St Ste 420
Salem, OR 97301-3581

Mailing address

2298 NW Kings Blvd
Corvallis, OR 97330-3923
Phone (541) 368-5986

Other practice location 1

2298 NW Kings Blvd
Corvallis, OR 97330-3923
Phone (541) 368-5986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210330002186 TX Practitioner - Nurse Practitioner 5890050652 Reassigns benefits to 1 organization
I20240221002382 OR Practitioner - Nurse Practitioner 5890050652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

388 State St
Suite 420
Salem, OR 97301-3581
Phone (541) 368-5986

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10017536ORMDGerontology Nurse Practitioner
1027411TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC CurrentSince Mar 26, 2021 Accepting new patients
Sound Pain Alliance CurrentSince Apr 1, 2024 Accepting new patients
Sound Pain Alliance CurrentSince Apr 1, 2024 Accepting new patients
Mark Malone MD PA Past Accepting new patients
Sound Pain Alliance Past Accepting new patients

Locations

2358 NW Kings Blvd
Ste 100
Corvallis, OR 97330
Phone (541) 368-5986

1849 NW Kearney St
Ste 201
Portland, OR 97209
Phone (503) 274-0045

388 State St
Ste 420
Salem, OR 97301
Phone (541) 368-5986

7703 Briaridge Dr
San Antonio, TX 78230
Phone (210) 223-5521

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 74

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

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1376062794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303923",
            "telephone_number": "541-368-5986",
            "fax_number": "866-624-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 420",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013581",
            "telephone_number": "541-368-5986",
            "fax_number": "866-624-8745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2298 NW Kings Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303923",
            "country_code": "US",
            "telephone_number": "541-368-5986",
            "fax_number": "866-624-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILTON",
        "first_name": "TIMOTHY",
        "middle_name": "I",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2272748",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1027411",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "10017536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.