Timothy Poquette, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71009141A Issued in IN

Practice address

1716 Hartford St
Lafayette, IN 47904-2138

Phone

(765) 742-1567

Fax

(765) 742-2750

NPI assigned

May 6, 2019

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, MT, MA, WV, NC, WA6 enrollments

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 6

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Forefront Telecare Medical Services PCGroup PAC ID 0446668826, 13 clinicians

Riggs Community Health Center IncGroup PAC ID 2365432226, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.poquette.1@24287.direct.athenahealth.com

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.

• Forefront Telecare Medical Services PC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1629698766
  Medicare reassignment Care Compare group NPD
• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386660900
  Medicare reassignment Care Compare group
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  NC, WA, WV

  Medicare reassignment NPD
• Forefront-Rosenzweig Medical Services Professional Corporation

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1588101745

  MA, WA

  Medicare reassignment NPD
• Princeton Community Hospital Assn Inc.

  dba Mercer Medical Group

  • Urology Physician
  • Princeton, WV
  • NPI 1093917643
  Medicare reassignment NPD
• Forefront-Matteson Medical Services PC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1659982551

  NC

  Medicare reassignment
• Alpine Clinic, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, IN
  • NPI 1548274202
  NPD
• Princeton Community Hospital Assn., Inc

  dba Bluefield Internal Medicine

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1235446485
  NPD
• Boone County Community Health Clinic, Inc

  • Community Health Clinic/Center
  • Lebanon, IN
  • NPI 1962681734
  NPD (past)
• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386876233
  NPD (past)

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1427613447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HARTFORD ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042138",
            "telephone_number": "765-742-1567",
            "fax_number": "765-742-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HARTFORD ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042138",
            "telephone_number": "765-742-1567",
            "fax_number": "765-742-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POQUETTE",
        "first_name": "TIMOTHY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71009141A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034486",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty C Poole, MSW,LSW
• Jasmin Poonia
• Chris Poore
• Whitney Pope
• Radmila Popovic, MD
• Kyrie Potter, LAT, ATC
• Shruti Singh Poulsen, PH.D.
• Claire Powell
• Stephen Powell, D.D.S., M.S.D.
• Allison Powers

• Psychiatric/Mental Health Nurse Practitioner in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.