DR. TIMOTHY J DARBY NP
NPI 1245906494
Nurse Practitioner - Family in Edina, MN
About Dr. Timothy J Darby Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY J DARBY NP (NPI 1245906494) is an individual family provider in Edina, Minnesota, licensed in Minnesota (8326) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Timothy J Darby Np 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 Reassignments
5Medicare enrollment records show Timothy Darby reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINA, MN 55435
EDINA, MN 55435
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 Darby's NPI number?
The NPI number for Timothy Darby is 1245906494. It was assigned to this individual provider in the NPPES registry on August 18, 2021.
Where is Timothy Darby located?
Timothy Darby practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.
What is Timothy Darby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Timothy Darby enrolled in Medicare?
Yes. Timothy Darby 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 organizations bill Medicare for Timothy Darby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Darby reassigns Medicare benefits to 5 organizations: Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN), Fairview Bethesda Hospital (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN) and Healtheast St. John's Hospital (Saint Paul, MN). Each 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 Darby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Darby accept?
Health plans from Sanford Health Plan list Timothy Darby 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 Darby affiliated with any hospitals?
According to CMS data, Timothy Darby is affiliated with M Health Fairview Southdale Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Darby was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Timothy J Darby, NP · NPI 1245906494
Family physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since August 18, 2021.
## Identity
- **NPI:** 1245906494 (Entity type: Individual)
- **Enumerated:** August 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8326 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6401 FRANCE AVE S, Edina, MN 55435-2199
- **Phone:** (952) 924-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1831707207, Edina, MN); Fairview Health Services (NPI 1770663031, Edina, MN); Fairview Bethesda Hospital (NPI 1275412561, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245906494) · Data from the CMS NPPES public registry.