Individual provider Active NPI

Timothy Michael Oneill, PA

  • Physician Assistant
  • Minden, NV
National Provider Identifier
1831161124
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA718 Issued in NV
Practice address
1649 Lucerne St
Suite a & B
Minden, NV 89423-4369
Phone
(775) 782-1603
Fax
(775) 782-3417
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA718 NV Primary

Addresses

Primary practice location

1649 Lucerne St
Suite a & B
Minden, NV 89423-4369

Mailing address

1649 Lucerne St
Suite a & B
Minden, NV 89423-4369
Phone (775) 782-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20051229000693 NV Practitioner - Physician Assistant 2466474952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Valley Medical Center Rural Health ClinicGroup PAC ID 2860579984, 43 clinicians

Practice addresses (Care Compare)

1520 Virginia Ranch Rd
Gardnerville, NV 89410-5731
Phone (775) 782-1550

897 Ironwood Dr
Minden, NV 89423-5199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA718NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Dec 13, 2025 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients

Locations

1516 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 783-3020

1516 Virginia Ranch Rd
Ste 201
Gardnerville, NV 89410
Phone (775) 783-3020

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

1520 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 782-1550

1649 Lucerne St
Minden, NV 89423
Phone (775) 782-1603

1649 Lucerne St
Ste A
Minden, NV 89423
Phone (775) 782-1603

Interoperability endpoints

  • Direct secure messaging: toneill65205@direct.renown.org

Organizations & group practices 3

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 6

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1831161124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 LUCERNE ST",
            "address_2": "SUITE A & B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234369",
            "telephone_number": "775-782-1603",
            "fax_number": "775-782-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 LUCERNE ST",
            "address_2": "SUITE A & B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234369",
            "telephone_number": "775-782-1603",
            "fax_number": "775-782-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.