Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIMOTHY SAMUEL WADDELL FNP
NPI 1629878467
Nurse Practitioner - Family in Portland, OR

Q: What is Timothy Waddell's NPI number?

The NPI number for Timothy Waddell is 1629878467. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Q: What is Timothy Waddell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Waddell was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 March 18, 2025PECOS EnrolledAccepts Medicare Assignment

923 NW 14TH AVE, PORTLAND, OR 97209(503) 972-0235(503) 379-1523 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 8, 2026, Mar 18, 2025 (2 updates tracked since 2025).

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About Timothy Samuel Waddell Fnp NPPES

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

TIMOTHY SAMUEL WADDELL FNP (NPI 1629878467) is an individual family provider in Portland, Oregon, licensed in Oregon (10064849) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629878467

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTIMOTHY SAMUEL WADDELLCredential: FNP

Location Address923 NW 14TH AVEPortland, OR 97209-2704

Mailing Address2459 Se Tualatin Valley Hwy # 416Hillsboro, OR 97123-7919 · (503) 972-0235

Phone(503) 972-0235

Fax(503) 379-1523

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 18, 2025

Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1629878467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 10064849

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95034330 (CA)

923 NW 14TH AVE, Portland, OR 97209

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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 Samuel Waddell Fnp 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 ID9335666221

PECOS Enrollment IDI20250505001546

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 97209 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINICOPS LLC

Community/Behavioral Health

923 NW 14TH AVE
PORTLAND, OR 97209

Multnomah County (503) 972-0235

CLINICOPS, LLC

Family Medicine

923 NW 14TH AVE
PORTLAND, OR 97209

Multnomah County (503) 972-0235

CECILE STEINBECK FNP-C

Nurse Practitioner (Family)

923 NW 14TH AVE
PORTLAND, OR 97209

Multnomah County (503) 972-0235

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 Waddell's NPI number?

The NPI number for Timothy Waddell is 1629878467. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Timothy Waddell located?

Timothy Waddell practices at 923 NW 14th Ave, Portland, OR 97209. The listed phone number is (503) 972-0235.

What is Timothy Waddell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Waddell enrolled in Medicare?

Yes. Timothy Waddell 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.

When was this NPI record last updated?

The NPPES record for Timothy Waddell was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.