MR. TIMOTHY MARTIN CARROLL AGACNP-BC
NPI 1902446248
Nurse Practitioner - Acute Care in Erie, PA
About Mr. Timothy Martin Carroll Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIMOTHY MARTIN CARROLL AGACNP-BC (NPI 1902446248) is an individual acute care provider in Erie, Pennsylvania, licensed in Pennsylvania (SP021146) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Timothy Martin Carroll Agacnp-bc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Timothy Carroll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Erie, PA 16550
- Reassigned Medicare billing, Pennsylvania enrollment
- 962 clinicians in this Medicare group
Erie, PA 16502
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Pennsylvania enrollment
- 553 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Hamot
Acute Care Hospitals · Erie, PAMeadville Medical Center
Acute Care Hospitals · Meadville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ERIE, PA 16507
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 Carroll's NPI number?
The NPI number for Timothy Carroll is 1902446248. It was assigned to this individual provider in the NPPES registry on January 15, 2020.
Where is Timothy Carroll located?
Timothy Carroll practices at 300 State St Fl 4, Erie, PA 16507. The listed phone number is (814) 877-5330.
What is Timothy Carroll's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Timothy Carroll enrolled in Medicare?
Yes. Timothy Carroll 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.
Which organizations bill Medicare for Timothy Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Carroll reassigns Medicare benefits to 3 organizations: Regional Health Services Inc (Erie, PA), Allegheny Clinic (Erie, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Carroll affiliated with any hospitals?
According to CMS data, Timothy Carroll is affiliated with Upmc Hamot and Meadville Medical Center.
When was this NPI record last updated?
The NPPES record for Timothy Carroll was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Timothy Martin Carroll, AGACNP-BC · NPI 1902446248
Acute Care physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 15, 2020.
## Identity
- **NPI:** 1902446248 (Entity type: Individual)
- **Enumerated:** January 15, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP021146 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 STATE ST FL 4, Erie, PA 16507-1427
- **Phone:** (814) 877-5330 · **Fax:** (814) 877-5331
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regional Health Services Inc (NPI 1174520654, Erie, PA); Allegheny Clinic (NPI 1114535028, Erie, PA); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1902446248) · Data from the CMS NPPES public registry.