Individual provider Active NPI

Timothy Charles Trotter, FNP

  • Family Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1518330901
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015460 Issued in PA
Practice address
1130 W Chester Pike
West Chester, PA 19382-5005
Phone
(610) 692-3636
Fax
(610) 918-0142
NPI assigned
Nov 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015460 PA Primary

Addresses

Primary practice location

1130 W Chester Pike
West Chester, PA 19382-5005

Mailing address

500 Kirts Blvd Ste 100
Troy, MI 48084-4135
Phone (248) 434-6169

Other practice location 1

1055 Westlakes Dr Ste 3003152
Berwyn, PA 19312-2410
Phone (215) 346-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160115001059 PA Practitioner - Nurse Practitioner 4587967070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

King of Prussia, PA 19406
Phone (215) 346-6050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Qofl Services LLC CurrentSince Jan 4, 2016 Accepting new patients
Iah of Michigan, PLLC CurrentSince Jul 22, 2022 Accepting new patients
Vpa PC CurrentSince Apr 23, 2021 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

1055 Westlakes Dr
Ste 3152
Berwyn, PA 19312
Phone (215) 246-6050

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500

Interoperability endpoints

  • Direct secure messaging: timothy.trotter.1@32913.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1518330901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844135",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W CHESTER PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825005",
            "telephone_number": "610-692-3636",
            "fax_number": "610-918-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Westlakes Dr Ste 3003152",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "PA",
            "postal_code": "193122410",
            "country_code": "US",
            "telephone_number": "215-346-6050",
            "fax_number": "215-220-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.