Charles E. Timbers Jr., CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP001035A Issued in PA

Practice address

1789 S Braddock Ave Ste 410
Pittsburgh, PA 15218-1881

Phone

(412) 247-2310

Fax

(412) 247-2373

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Metro Family Practice, Inc.Group PAC ID 9032027727, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.timbers.1@24754.direct.athenahealth.com

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.

• Metro Family Practice, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1740283845
  Medicare reassignment Care Compare group NPD
• Metro Family Practice Inc.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1861936841
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Presbyterian Shadyside

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1144384082

  Hospital

  Care Compare affiliation
• Upmc Presbyterian Shadyside

  • Methadone Clinic
  • Pittsburgh, PA
  • NPI 1518089200

  Hospital

  Care Compare affiliation
• Upmc Presbyterian Shadyside

  • Psychiatric Hospital Unit
  • Pittsburgh, PA
  • NPI 1750390134
  Care Compare affiliation
• Upmc Presbyterian Shadyside

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1821007881
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1740313527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181881",
            "telephone_number": "412-247-2310",
            "fax_number": "412-247-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181881",
            "telephone_number": "412-247-2310",
            "fax_number": "412-247-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBERS",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP001035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne Tilson, MD
• Jeremy Scott Tilstra, MD/PHD
• Sarah Anne Tilstra, MD
• Tim Runco DMD PC
• Renee L Timberlake
• Ketisha Timbers
• Darla Monique Timbo, L.P.C.
• Alan M Timko, DMD
• Anastasia Mary Timko, CRNP
• Joyce Ann Timko, CRNP

• Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.

Verify at the official NPI Registry.