TIMOTHY B DIFFERENT CRNA
NPI 1730643032
Nurse Anesthetist, Certified Registered in Jacksonville, TX

Q: What is Timothy Different's NPI number?

The NPI number for Timothy Different is 1730643032. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Q: What is Timothy Different's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Different was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 31, 2019Accepts Medicare Assignment

2026 S JACKSON ST, JACKSONVILLE, TX 75766(903) 586-5678(903) 541-4679 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2019, Apr 18, 2019, Apr 1, 2019 and 2 more (5 updates tracked since 2019).

On this page

About Timothy B Different Crna NPPES

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

TIMOTHY B DIFFERENT CRNA (NPI 1730643032) is an individual nurse anesthetist, certified registered in Jacksonville, Texas, licensed in Texas (AP140173) and active in the NPI registry since January 2019. He is affiliated with Navarro Regional Hospital and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730643032

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTIMOTHY B DIFFERENTCredential: CRNA

Location Address2026 S JACKSON STJacksonville, TX 75766-5822

Mailing AddressPo Box 847522Dallas, TX 75284-7522 · (903) 531-5000

Phone(903) 586-5678

Fax(903) 541-4679

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 31, 2019

Last NPPES UpdateMay 21, 20195 updates tracked since enumeration

✔ NPI 1730643032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TX · AP140173

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2026 S JACKSON ST, Jacksonville, TX 75766

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Other Identifiers 4

Other8KP517TX · Bcbs

Medicaid394643601TX

OtherP02210751TX · Medicare Rail Road

Other769641TX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Wyoming, CHRISTUS Health Plan.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 B Different Crna 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 ID5092054692

PECOS Enrollment IDI20190226001469

Medicare Billing Reassignments

Medicare enrollment records show Timothy Different reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mother Frances Hospital Jacksonville

Same address

Critical Access

2026 S JACKSON ST
Jacksonville, TX 75766

Reassigned Medicare billing, Texas enrollment
409 clinicians in this Medicare group

NPI 1952306672 (903) 541-4500

Emergenchealth PLLC

136 mi

Anesthesiology

4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109

Reassigned Medicare billing, Texas enrollment
1,612 clinicians in this Medicare group

NPI 1467970897 (972) 861-1270

Lake Granbury Hospital-Based Professional Services

154 mi

Emergency Medicine

1310 PALUXY RD
Granbury, TX 76048

Reassigned Medicare billing, Texas enrollment
123 clinicians in this Medicare group

NPI 1689443467 (817) 573-2273

Campbell County Hospital District

987 mi

Primary Care

500 LATIGO DRIVE
Wright, WY 82732

Reassigned Medicare billing, Wyoming enrollment
285 clinicians in this Medicare group

NPI 1225081649 (307) 464-0413

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 4

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.

Anesthesia for nerve block and injection 01991

Anesthesia for nerve block and injection is a procedure used to numb specific areas, reducing or blocking pain signals. A medication is injected near nerves to cause numbness in a particular part of your body. This helps in performing certain medical procedures with minimal discomfort.

24 services21 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

15 services15 patients

Anesthesia for nerve block and injection procedure, prone position 01992

Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.

13 services13 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450447

Location3201 West Highway 22Corsicana, TX 75110 · Navarro County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 20

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

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