Individual provider Active NPI

Timothy Joseph, CRNA

  • Certified Registered Nurse Anesthetist
  • Petoskey, MI
National Provider Identifier
1801301320
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704263779 Issued in MI
Practice address
416 Connable Ave
Petoskey, MI 49770-2212
Phone
(231) 348-2795
Fax
(231) 348-2031
NPI assigned
Dec 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704263779 MI Primary

Addresses

Primary practice location

416 Connable Ave
Petoskey, MI 49770-2212

Mailing address

602 Jackson St
Petoskey, MI 49770-2220
Phone (231) 348-2795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180104000753 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668731258 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians
Midwest Anesthesia Resources, Inc.Group PAC ID 3476455726, 14 clinicians
Northern Anesthesia Providers PCGroup PAC ID 4789579863, 31 clinicians

Practice addresses (Care Compare)

33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001

3455 Livernois Rd
Troy, MI 48083-5063
Phone (248) 619-2020

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

Hospital & facility affiliations

  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2018 Accepting new patients
Northern Anesthesia Providers PC CurrentSince Oct 13, 2025 Accepting new patients
William Beaumont Hospital CurrentSince Jan 14, 2018 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Midwest Anesthesia Resources, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients

Locations

701 S Ballenger Hwy
Flint, MI 48532
Phone (810) 238-3603

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

602 Jackson St
Petoskey, MI 49770
Phone (231) 348-2795

3601 W 13 Mile Rd
Royal Oak, MI 48073

130 Town Center Dr
Troy, MI 48084
Phone (248) 585-8216

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020

130 Town Center Dr
Ste 203
Troy, MI 48084
Phone (248) 585-8250

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 5

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1801301320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 JACKSON ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702220",
            "telephone_number": "231-348-2795",
            "fax_number": "231-348-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-348-2795",
            "fax_number": "231-348-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704263779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.