TIMOTHY SHANK
NPI 1053180265
Nurse Practitioner - Family in Valley Springs, CA
About Timothy Shank NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY SHANK (NPI 1053180265) is an individual family provider in Valley Springs, California, licensed in California (95027207) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Shank is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Shank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Valley Springs, CA 95252
- Reassigned Medicare billing, California enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95252 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALLEY SPRINGS, CA 95252
VALLEY SPRINGS, CA 95252
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Timothy Shank's NPI number?
The NPI number for Timothy Shank is 1053180265. It was assigned to this individual provider in the NPPES registry on December 28, 2023.
Where is Timothy Shank located?
Timothy Shank practices at 51 Wellness Way, Valley Springs, CA 95252. The listed phone number is (209) 772-7070.
What is Timothy Shank's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Timothy Shank enrolled in Medicare?
Yes. Timothy Shank is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Timothy Shank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Shank reassigns Medicare benefits to Mark Twain Health Care District (Valley Springs, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Shank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Shank was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Timothy Shank · NPI 1053180265
Family physician in Valley Springs, California. Individual provider, active in the CMS NPPES registry since December 28, 2023.
## Identity
- **NPI:** 1053180265 (Entity type: Individual)
- **Enumerated:** December 28, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95027207 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 WELLNESS WAY, Valley Springs, CA 95252-9736
- **Phone:** (209) 772-7070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** Mark Twain Health Care District (NPI 1306311329, Valley Springs, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053180265) · Data from the CMS NPPES public registry.