TIMOTHY LYLE FELLMAN APRN, CNP
NPI 1376014084
Nurse Practitioner - Family in Duluth, MN
About Timothy Lyle Fellman Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY LYLE FELLMAN APRN, CNP (NPI 1376014084) is an individual family provider in Duluth, Minnesota, licensed in Minnesota (10616) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Timothy Lyle Fellman Aprn, Cnp 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 Fellman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashland, WI 54806
- Reassigned Medicare billing, Wisconsin enrollment
- 175 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health Duluth
Acute Care Hospitals · Duluth, MNSt Marys Hospital Superior
Critical Access Hospitals · Superior, WITamarack Health Ashland Medical Center
Critical Access Hospitals · Ashland, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fellman's NPI number?
The NPI number for Timothy Fellman is 1376014084. It was assigned to this individual provider in the NPPES registry on December 7, 2018. The provider is also known as Timothy Lyle Anderson.
Where is Timothy Fellman located?
Timothy Fellman practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Timothy Fellman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Timothy Fellman enrolled in Medicare?
Yes. Timothy Fellman 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 Fellman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Fellman reassigns Medicare benefits to Memorial Medical Center Inc (Ashland, WI). 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 Fellman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Fellman accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Timothy Fellman 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 Fellman affiliated with any hospitals?
According to CMS data, Timothy Fellman is affiliated with Essentia Health Duluth, St Marys Hospital Superior and Tamarack Health Ashland Medical Center.
When was this NPI record last updated?
The NPPES record for Timothy Fellman was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Lyle Fellman, APRN, CNP · NPI 1376014084
Family physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since December 7, 2018.
## Identity
- **NPI:** 1376014084 (Entity type: Individual)
- **Enumerated:** December 7, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10616 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## 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:** Memorial Medical Center Inc (NPI 1437179231, Ashland, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376014084) · Data from the CMS NPPES public registry.