NPIMap

Individual provider Active NPI

John Maxwell Timmons III, CNP

  • Family Nurse Practitioner
  • Sheldon, IA
National Provider Identifier
1609209543
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A117791 Issued in IA
Practice address
800 Oak St
Sheldon, IA 51201-1242
Phone
(712) 324-5356
Fax
(712) 324-6512
NPI assigned
Aug 14, 2013
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F07131130 IA
Family Nurse Practitioner 363LF0000X A117791 IA Primary

Addresses

Primary practice location

800 Oak St
Sheldon, IA 51201-1242

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtimmons4125963@direct.sanfordhealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131210000241 IA Practitioner - Nurse Practitioner 3870720246 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.74 of 100Reported as group
Quality
76.47
Promoting interoperability
77
Improvement activities
40
Cost
71.84

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07131130IAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Sanford Health Network Current Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Oct 29, 2015 Accepting new patients
Sanford Clinic Current Accepting new patients
Woodbury Emergency Group, PC CurrentSince Jun 26, 2019 Accepting new patients
Sanford Health Network CurrentSince Aug 28, 2013 Accepting new patients
Sanford Clinic CurrentSince May 1, 2016 Accepting new patients
Sanford Health Network CurrentSince Aug 28, 2013 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Clinic Past Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000

118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041

800 Oak St
Sheldon, IA 51201
Phone (712) 324-5356

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

900 E 54th St N
Ste 200
Sioux Falls, SD 57104
Phone (605) 328-9300

Interoperability endpoints

  • Direct secure messaging: jtimmons155387@direct.unitypoint.org
  • Direct secure messaging: jtimmons4125963@direct.sanfordhealth.org

Organizations & group practices 11

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 2

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1609209543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011242",
            "telephone_number": "712-324-5356",
            "fax_number": "712-324-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "JOHN",
        "middle_name": "MAXWELL",
        "name_suffix": "III",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "F07131130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A117791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtimmons4125963@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "118 N 7th Ave",
            "city": "Sheldon",
            "state": "IA",
            "country_code": "US",
            "postal_code": "512011235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheldon, IA

Sources for this page

Verify at the official NPI Registry.