Individual provider Active NPI

Timothy Lee Traugott, ACNP

  • Acute Care Nurse Practitioner
  • Clinton Township, MI
National Provider Identifier
1881858694
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704351488 Issued in MI
Practice address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone
(586) 263-2300
Fax
(313) 876-1305
NPI assigned
Jul 11, 2008
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024177398 VA
Nurse Practitioner 363L00000X L154631 IA
Nurse Practitioner 363L00000X AP116679 TX
Nurse Practitioner 363L00000X 9826 WI
Nurse Practitioner 363L00000X 4704351488 MI
Acute Care Nurse Practitioner 363LA2100X 4704351488 MI Primary
Licensed Practical Nurse 164W00000X 683774 TX
Nurse Practitioner 363L00000X AP11174 AZ
Acute Care Nurse Practitioner 363LA2100X 683774 TX

Addresses

Primary practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

6565 Fannin St
Suite B452
Houston, TX 77030-2703
Phone (713) 441-3620

Other practice location 2

801 5th St
Sioux City, IA 51101-1326
Phone (712) 279-2010

Other practice location 3

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273

Other practice location 4

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Other practice location 5

600 Gresham Dr Ste 8600
Norfolk, VA 23507-1904
Phone (757) 388-6005

Other practice location 6

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000

Other identifiers 9

IdentifierTypeStateIssuer
1881858694OtherTXBLUE CROSS BLUE SHIELD
P01254148OtherTXMEDICARE RR
282228003MedicaidTX
100096797MedicaidWI
282228002MedicaidTX
P00982598OtherTXMEDICARE RR
845N38OtherTXBLUE CROSS BLUE SHIELD
282228004MedicaidTX
P01094717OtherTXRR MEDICARE

Other names 1

  • Timothy Lee Traugott Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ttraugott262025@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, IA, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110630000457 TX Practitioner - Nurse Practitioner 8921286535 Reassigns benefits to 4 organizations
I20180921002187 AZ Practitioner - Nurse Practitioner 8921286535 Reassigns benefits to 2 organizations
I20190917002411 IA Practitioner - Nurse Practitioner 8921286535
I20260508002086 VA Practitioner - Nurse Practitioner 8921286535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-6005

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

6550 Fannin St
Suite 1501
Houston, TX 77030-2743
Phone (713) 441-5141

6565 Fannin St
Houston, TX 77030-2703

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
683774TXMDLicensed Practical Nurse
4704351488MIMDNurse Practitioner
AP116679TXMDNurse Practitioner
9826WIMDNurse Practitioner
0024177398VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 18, 2023 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Current Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Nurse Practitioner CurrentSince Jul 15, 2018 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 21, 2016 Accepting new patients
App of Southern Arizona HM LLC CurrentSince Apr 18, 2023 Accepting new patients
Northwest HBP Medical Services LLC Nurse Practitioner CurrentSince Aug 7, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jan 18, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 21, 2016 Accepting new patients
Intensivist Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Jan 1, 2026 Accepting new patients
Houston Methodist Nurse Practitioner Past Accepting new patients
Sentara Medical Group Past Accepting new patients
TMH Physician Organization Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2610 N Alexander Dr
Ste 201
Baytown, TX 77520
Phone (281) 427-6363

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 9
Houston, TX 77030
Phone (713) 798-2273

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6550 Fannin St
Ste 1501
Houston, TX 77030
Phone (713) 441-5141

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

6550 Fannin St
Ste 1150
Houston, TX 77030
Phone (713) 441-2670

6565 Fannin St
Ste B452
Houston, TX 77030
Phone (713) 441-3620

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: ttraugott262025@direct.myadvocateaurora.org
  • Direct secure messaging: ttraugott804508@direct.hfhs.org
  • Direct secure messaging: ttraugott94966@directhoustonmethodist.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1881858694",
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        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "586-263-2300",
            "fax_number": "313-876-1305"
        }
    ],
    "practiceLocations": [
        {
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            "address_2": "Suite B452",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-441-3620",
            "fax_number": "713-790-2082",
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            "state": "IA",
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            "country_code": "US",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-2034",
            "country_name": "United States",
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            "fax_number": "928-704-6785",
            "country_name": "United States",
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        {
            "address_1": "600 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042235",
            "country_code": "US",
            "telephone_number": "361-881-3000",
            "fax_number": "361-881-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr Ste 8600",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-6005",
            "fax_number": "757-388-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 W Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154330",
            "country_code": "US",
            "telephone_number": "414-649-6000",
            "fax_number": "414-649-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAUGOTT",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
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            "license": "0024177398",
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            "code": "363L00000X",
            "taxonomy_group": "",
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            "license": "L154631",
            "primary": false
        },
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            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP116679",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9826",
            "primary": false
        },
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            "taxonomy_group": "",
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            "primary": false
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            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
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            "license": "AP11174",
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            "desc": "Other (non-Medicare)",
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            "identifier": "1881858694",
            "state": "TX"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
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            "issuer": null,
            "identifier": "282228002",
            "state": "TX"
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            "code": "01",
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            "issuer": "MEDICARE RR",
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        {
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            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "845N38",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282228004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01094717",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttraugott262025@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 W Oklahoma Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532154330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2900 W Oklahoma Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532154330",
            "country_name": "United States",
            "address_type": "DOM"
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    ],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "TRAUGOTT",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.