Active NPI
Timothy Wayne Hockenberry, M.D.
- Family Medicine Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6060
- Practice address
- 4930 Aberfeldy Rd
Reno, NV 89519-0986 - Phone
- (775) 426-9115
- Fax
- (775) 453-2188
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12441 | MT | |
| Family Medicine Physician | 207Q00000X | 32396 | MN | |
| Family Medicine Physician | 207Q00000X | 60396764 | WA | |
| Family Medicine Physician | 207Q00000X | 130997 | CA | |
| Family Medicine Physician | 207Q00000X | 164791 | OR | |
| Family Medicine Physician | 207Q00000X | 6060 | NV | Primary |
Addresses
Primary practice location
4930 Aberfeldy Rd
Reno, NV 89519-0986
Mailing address
4930 Aberfeldy Rd
Reno, NV 89519-0986
Phone (775) 426-9115
Other practice location 1
801 E Williams Ave
Fallon, NV 89406-3052
Phone (303) 390-1940
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558320515 | Medicaid | CA | |
| 002001002 | Medicaid | NV | |
| 1558320515 | Medicaid | MT | |
| 500665654 | Medicaid | OR | |
| 2045019 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Sanford School of Medicine of University of South Dakota, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 E Williams Ave
Fallon, NV 89406-3052
Phone (775) 423-3151
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130997 | CA | MD | Clinical Social Worker |
| 6060 | NV | MD | Dentist |
| 12441 | MT | MD | Family Medicine Physician |
| 164791 | OR | MD | Family Medicine Physician |
| 60396764 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| Rural Physicians Group-Pannu PLLC | Family Medicine | Current | Accepting new patients |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| Banner Churchill Community Hospital | Past | Accepting new patients | |
| Lifelinc Anesthesia Nevada, P.C. | Past | Accepting new patients | |
| Lourdes Hospital LLC | Past | Accepting new patients |
Locations
1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025
5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111
1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485
3528 Gabel Rd
Billings, MT 59102
Phone (406) 373-8000
801 E Williams Ave
#2209
Fallon, NV 89406
Phone (775) 423-3174
801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310
801 E Williams Ave
Ste 2209
Fallon, NV 89406
Phone (775) 423-3151
118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222
213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301
94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
Interoperability endpoints
- tim_hockenberry_md@yourcarecommunity.org
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1891236584
Family Medicine, NV
-
- Critical Access Hospital
- Yerington, NV
- NPI 1376917302
-
- General Acute Care Hospital
- Yerington, NV
- NPI 1932160363
-
- Medicare Defined Swing Bed Hospital Unit
- Yerington, NV
- NPI 1285008219
-
- Physical Therapist
- Yerington, NV
- NPI 1407815194
-
- Critical Access Hospital
- Fallon, NV
- NPI 1265811251
-
- Anesthesiology Physician
- Fallon, NV
- NPI 1851950463
-
- Psychiatric Hospital
- Richland, WA
- NPI 1548342181
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fallon, NV
- NPI 1265811251
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1558320515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 ABERFELDY RD",
"city": "RENO",
"state": "NV",
"postal_code": "895190986",
"telephone_number": "775-426-9115",
"fax_number": "775-453-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 ABERFELDY RD",
"city": "RENO",
"state": "NV",
"postal_code": "895190986",
"telephone_number": "775-426-9115",
"fax_number": "775-453-2188"
}
],
"practiceLocations": [
{
"address_1": "801 E Williams Ave",
"address_purpose": "LOCATION",
"city": "Fallon",
"state": "NV",
"postal_code": "894063052",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOCKENBERRY",
"first_name": "TIMOTHY",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "12441",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "32396",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "60396764",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "130997",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "164791",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "6060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558320515",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002001002",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558320515",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500665654",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2045019",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.