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TIMOTHY MATTHEW RACE MSN, CRNP, PMHNP-BC
NPI 1083486625
Nurse Practitioner - Psychiatric/Mental Health in Plymouth, PA

Active since October 26, 2023PECOS Enrolled
142 DAVENPORT ST, PLYMOUTH, PA 18651(570) 899-1871 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2023, Oct 26, 2023 (2 updates tracked since 2023).

About Timothy Matthew Race Msn, Crnp, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY MATTHEW RACE MSN, CRNP, PMHNP-BC (NPI 1083486625) is an individual psychiatric/mental health provider in Plymouth, Pennsylvania, licensed in Pennsylvania (SP028392) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083486625
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTIMOTHY MATTHEW RACECredential: MSN, CRNP, PMHNP-BC
Location Address142 DAVENPORT STPlymouth, PA 18651-1604
Mailing Address142 Davenport StPlymouth, PA 18651-1604
Phone(570) 899-1871
Sole ProprietorNo
Enumeration DateOctober 26, 2023
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1083486625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP028392
142 DAVENPORT ST, Plymouth, PA 18651
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Matthew Race Msn, Crnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Race reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Supportive Care Of Pennsylvania LLC
99 mi
Clinical
20 ROBERT PITT DR, UNIT 209
Monsey, NY 10952
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 160 clinicians in this Medicare group
NPI 1174992275 (845) 826-0060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
846 services219 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
75 services56 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
44 services44 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
24 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18651 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Race's NPI number?

The NPI number for Timothy Race is 1083486625. It was assigned to this individual provider in the NPPES registry on October 26, 2023.

Where is Timothy Race located?

Timothy Race practices at 142 Davenport St, Plymouth, PA 18651. The listed phone number is (570) 899-1871.

What is Timothy Race's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Timothy Race enrolled in Medicare?

Yes. Timothy Race is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Race's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Race reassigns Medicare benefits to Supportive Care Of Pennsylvania LLC (Monsey, NY). 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 Race'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 Race was last updated on December 4, 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.