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TIMOTHY WALTER NELSON M.D.
NPI 1871736348
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 14, 2009PECOS Enrolled
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101(206) 583-6079(206) 583-2307 Get Directions Write a Review

NPPES record last updated: April 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Walter Nelson M.d. NPPES

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

TIMOTHY WALTER NELSON M.D. (NPI 1871736348) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871736348
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY WALTER NELSONCredential: M.D.
Location Address1100 9TH AVE, MS M4-PASeattle, WA 98101-2756
Mailing Address1100 9th Ave, Ms M4-paSeattle, WA 98101-2756 · (206) 583-6079 · Fax (206) 583-2307
Phone(206) 583-6079
Fax(206) 583-2307
Sole ProprietorNo
Enumeration DateApril 14, 2009
✔ NPI 1871736348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1100 9TH AVE, Seattle, WA 98101
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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 (PECOS)

Timothy Walter Nelson M.d. 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.

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.

JACLYN ANN SUBKOVIAK OT
Occupational Therapist
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 341-0461
MARCIE G HUME PHARM.D.
Pharmacist
1100 9TH AVE, MS C3-PO
SEATTLE, WA 98101
King County (206) 223-6877
DR. VINAY GUPTA MD
Internal Medicine (Critical Care Medicine)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6980
MARY JO BUKOVIC CCP
Contractor
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
PEGAH SAFAEIAN D.O.
Physical Medicine & Rehabilitation
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
MRS. GENEVIEVE HOUDET-COTE SLP
Speech-Language Pathologist
1100 9TH AVE, MS:H4-PMR
SEATTLE, WA 98101
King County (206) 341-0461
ROBERT DALE MCCLURE MD
Surgery
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
VIRGINIA MASON MEDICAL CENTER
Internal Medicine (Gastroenterology)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600

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 Nelson's NPI number?

The NPI number for Timothy Nelson is 1871736348. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Timothy Nelson located?

Timothy Nelson practices at 1100 9th Ave Ms M4-Pa, Seattle, WA 98101. The listed phone number is (206) 583-6079.

What is Timothy Nelson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Timothy Nelson enrolled in Medicare?

Yes. Timothy Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Nelson was last updated on April 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.