TIMOTHY CARLISLE PA
NPI 1487752440
Physician Assistant - Medical in Kalamazoo, MI

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
900 PEELER ST, KALAMAZOO, MI 49008(269) 342-7827 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2025, Sep 10, 2024 (2 updates tracked since 2024).

About Timothy Carlisle Pa NPPES

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

TIMOTHY CARLISLE PA (NPI 1487752440) is an individual medical provider in Kalamazoo, Michigan, licensed in Michigan (5601004857) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1487752440
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTIMOTHY CARLISLECredential: PA
Location Address900 PEELER STKalamazoo, MI 49008-2300
Mailing Address900 Peeler StKalamazoo, MI 49008-2300 · (269) 342-7827
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
NPI 1487752440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601004857
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601004857 (MI)
900 PEELER ST, Kalamazoo, MI 49008

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 Carlisle Pa 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 ID3870593239
PECOS Enrollment IDI20070109000098
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.

Hospital Affiliations CMS Care Compare 2

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

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.

Nurse Anesthetist, Certified Registered
900 PEELER ST
KALAMAZOO, MI 49008
Anesthesiology
900 PEELER ST
KALAMAZOO, MI 49008
Nurse Anesthetist, Certified Registered
900 PEELER ST
KALAMAZOO, MI 49008
Nurse Anesthetist, Certified Registered
900 PEELER ST
KALAMAZOO, MI 49008
Nurse Anesthetist, Certified Registered
900 PEELER ST
KALAMAZOO, MI 49008
Nurse Anesthetist, Certified Registered
900 PEELER ST
KALAMAZOO, MI 49008
Nurse Anesthetist, Certified Registered
900 PEELER ST
KALAMAZOO, MI 49008
Nurse Anesthetist, Certified Registered
900 PEELER ST
KALAMAZOO, MI 49008

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 Carlisle's NPI number?

The NPI number for Timothy Carlisle is 1487752440. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Timothy Carlisle located?

Timothy Carlisle practices at 900 Peeler St, Kalamazoo, MI 49008. The listed phone number is (269) 342-7827.

What is Timothy Carlisle's specialty?

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

Is Timothy Carlisle enrolled in Medicare?

Yes. Timothy Carlisle 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 Carlisle accept?

Health plans from Priority Health list Timothy Carlisle 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 Carlisle affiliated with any hospitals?

According to CMS data, Timothy Carlisle is affiliated with Bronson Methodist Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Carlisle was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.