Individual provider Active NPI

Timothy Wayne Hockenberry, M.D.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1558320515
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6060 Issued in NV
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

Updated by the provider on May 15, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1558320515MedicaidCA
002001002MedicaidNV
1558320515MedicaidMT
500665654MedicaidOR
2045019MedicaidWA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040713000045 NV Practitioner - Family PracticePractitioner - Emergency Medicine 5890773162 Reassigns benefits to 3 organizations
Practice locations: Fallon, NV
I20140210001812 OR Practitioner - Family Practice 5890773162 Practice locations: Gold Beach, OR

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
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

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

LicenseStateTypeSpecialty
130997CAMDClinical Social Worker
6060NVMDDentist
12441MTMDFamily Medicine Physician
164791ORMDFamily Medicine Physician
60396764WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Health Center, Inc. CurrentSince Feb 2, 2021 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. CurrentSince Feb 2, 2021 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. PastSince Oct 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.