TIMOTHY RYAN SHORT NP-C
NPI 1114696069
Nurse Practitioner - Family in Adrian, MI

Active since September 13, 2021PECOS EnrolledAccepts Medicare Assignment
146 S CHARLES ST, ADRIAN, MI 49221(517) 366-5000(517) 366-5002 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Mar 2, 2022, Sep 15, 2021 (3 updates tracked since 2021).

About Timothy Ryan Short Np-c NPPES

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

TIMOTHY RYAN SHORT NP-C (NPI 1114696069) is an individual family provider in Adrian, Michigan, licensed in Michigan (4704335486) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of University Of Toledo College Of Medicine (2021).

NPPES Registry Identity

NPI1114696069
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY RYAN SHORTCredential: NP-C
Location Address146 S CHARLES STAdrian, MI 49221-2556
Mailing Address146 S Charles StAdrian, MI 49221-2556 · (517) 366-5000 · Fax (517) 366-5002
Fax(517) 366-5002
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2021
Enumeration DateSeptember 13, 2021
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1114696069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704335486
146 S CHARLES ST, Adrian, MI 49221

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy Ryan Short Np-c 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.

PECOS PAC ID345632535
PECOS Enrollment IDI20220120001507
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.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49221 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
146 S CHARLES ST
ADRIAN, MI 49221
Physician Assistant
146 S CHARLES ST
ADRIAN, MI 49221

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 Short's NPI number?

The NPI number for Timothy Short is 1114696069. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Timothy Short located?

Timothy Short practices at 146 S Charles St, Adrian, MI 49221. The listed phone number is (517) 366-5000.

What is Timothy Short's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Short enrolled in Medicare?

Yes. Timothy Short 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.

What insurance does Timothy Short accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Timothy Short as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Short affiliated with any hospitals?

According to CMS data, Timothy Short is affiliated with Promedica Charles And Virginia Hickman Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Short was last updated on November 3, 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.