TIMOTHY MILTON FAIN NP
NPI 1417969809
Nurse Practitioner in Charlotte, NC

Q: What is Timothy Fain's NPI number?

The NPI number for Timothy Fain is 1417969809. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Timothy Fain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Fain was last updated on May 4, 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.

Active since August 13, 2006PECOS Enrolled

95.35/100

CMS Quality Rating

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1255 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Mar 9, 2023, Feb 28, 2023 and 48 more (51 updates tracked since 2018).

On this page

About Timothy Milton Fain Np NPPES

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

TIMOTHY MILTON FAIN NP (NPI 1417969809) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5001443) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417969809

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameTIMOTHY MILTON FAINCredential: NP

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 446-1255

Sole ProprietorNo

Enumeration DateAugust 13, 2006

Last NPPES UpdateMay 4, 202351 updates tracked since enumeration

NPPES CertifiedApril 14, 2022

✔ NPI 1417969809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5001443

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1350 S KINGS DR, Charlotte, NC 28207

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Secondary Practice Locations 3

Location 11225 Harding Pl, Ste 3100Charlotte, NC 28204-2826 · Phone (704) 355-8686

Location 21025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-1813

Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Milton Fain Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

KRISTINA JASMIN HARRELL MD

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