Individual provider Active NPI

Timothy Milner

  • Family Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1629952569
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216401 Issued in AR
Practice address
49 Valley View Cir
Bentonville, AR 72712-7517
Phone
(215) 609-8688
NPI assigned
Aug 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 216401 AR Primary

Addresses

Primary practice location

49 Valley View Cir
Bentonville, AR 72712-7517

Mailing address

49 Valley View Cir
Bentonville, AR 72712-7517
Phone (215) 609-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20251212002224 AR Practitioner - Nurse Practitioner 7012401425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rouse Family Medical Clinic PAGroup PAC ID 4486830171, 2 clinicians

Practice addresses (Care Compare)

1306 S Pleasant St
Springdale, AR 72764-6223
Phone (479) 443-0500

Hospital & facility affiliations

  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216401ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rouse Family Medical Clinic PA CurrentSince Oct 4, 2025 Accepting new patients

Locations

1306 S Pleasant St
Springdale, AR 72764
Phone (479) 443-0500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16989/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 1

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": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1629952569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VALLEY VIEW CIR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127517",
            "telephone_number": "215-609-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VALLEY VIEW CIR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127517",
            "telephone_number": "215-609-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNER",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.