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TIMOTHY SAMUEL WADDELL FNP
NPI 1629878467
Nurse Practitioner - Family in Tehachapi, CA

Active since March 18, 2025PECOS EnrolledAccepts Medicare Assignment
21460 GOLDEN HILLS BLVD UNIT B, TEHACHAPI, CA 93561(336) 689-0437 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Tehachapi, California, licensed in California (95034330) 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 Address21460 GOLDEN HILLS BLVD UNIT BTehachapi, CA 93561-6636
Mailing Address21460 Golden Hills Blvd Unit BTehachapi, CA 93561-6636 · (336) 689-0437
Phone(336) 689-0437
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 18, 2025
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ 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 CA · 95034330
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95034330 (CA)
21460 GOLDEN HILLS BLVD UNIT B, Tehachapi, CA 93561
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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 93561 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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.

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 21460 Golden Hills Blvd Unit B, Tehachapi, CA 93561. The listed phone number is (336) 689-0437.

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 July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.