TIMOTHY ELI HOLMSTROM MS, PA-C, ATC, CSCS
NPI 1346326204
Physician Assistant - Medical in Pullman, WA

Q: What is Timothy Holmstrom's NPI number?

The NPI number for Timothy Holmstrom is 1346326204. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Q: What is Timothy Holmstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Holmstrom was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment

825 SE BISHOP BLVD STE 120, PULLMAN, WA 99163(509) 332-2828(509) 334-7474 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Jul 10, 2025 (2 updates tracked since 2025).

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About Timothy Eli Holmstrom Ms, Pa-c, Atc, Cscs NPPES

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

TIMOTHY ELI HOLMSTROM MS, PA-C, ATC, CSCS (NPI 1346326204) is an individual medical provider in Pullman, Washington, licensed in Washington (PA60197224) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346326204

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTIMOTHY ELI HOLMSTROMCredential: MS, PA-C, ATC, CSCS

Location Address825 SE BISHOP BLVD STE 120Pullman, WA 99163-5517

Mailing Address825 Se Bishop Blvd Ste 120Pullman, WA 99163-5517 · (509) 332-2828 · Fax (509) 334-7474

Phone(509) 332-2828

Fax(509) 334-7474

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 31, 2006

Last NPPES UpdateApril 9, 20262 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1346326204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in WA · PA60197224✔ Licensed in ID · PA-2514

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-2514 (ID), PA60197224 (WA)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA-2514 (ID), PA 60197224 (WA)

825 SE BISHOP BLVD STE 120, Pullman, WA 99163

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Secondary Practice Locations 2

Location 1413 29th St NE Ste IPuyallup, WA 98372-7154 · Phone (855) 255-1750 · Fax (855) 255-0905

Location 2500 S 8th StBoise, ID 83702-7107 · Phone (855) 255-1750 · Fax (855) 255-0905

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Eli Holmstrom Ms, Pa-c, Atc, Cscs 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 ID8426247974

PECOS Enrollment IDI20110113001038, I20110217000348

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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

66 services16 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

24 services21 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.

22 services20 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 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.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Gritman Medical Center

Critical Access Hospitals · Moscow, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number131327

Location700 South Main StreetMoscow, ID 83843 · Latah County

Emergency services

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501331

Location835 S Bishop BlvdPullman, WA 99163 · Whitman County

Emergency services Birthing friendly

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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.

EDWIN M. TINGSTAD, MD PLLC

Orthopaedic Surgery