1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Nurse Practitioner
  6. NPI Profile

TIMOTHY PIERCE NP
NPI 1922631258
Nurse Practitioner - Family in New York, NY

Active since February 14, 2020PECOS Enrolled
111 BROADWAY RM 504, NEW YORK, NY 10006(212) 571-3331(360) 462-6691 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2023, Feb 14, 2020 (2 updates tracked since 2020).

About Timothy Pierce Np NPPES

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

TIMOTHY PIERCE NP (NPI 1922631258) is an individual family provider in New York, New York, licensed in New York (347334) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922631258
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY PIERCECredential: NP
Location Address111 BROADWAY RM 504New York, NY 10006-1982
Mailing Address321 W 29th St Apt 3cNew York, NY 10001-4749 · (586) 698-8735
Phone(212) 571-3331
Fax(360) 462-6691
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 14, 2020
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1922631258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 347334✔ Licensed in MI · 4704296154
111 BROADWAY RM 504, New York, NY 10006
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Pierce Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901235779
PECOS Enrollment IDI20251203000577
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Pierce reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Douglas H Bailyn, MD, PC
2.5 mi
Internal Medicine
380 2ND AVE, SUITE 1002
New York, NY 10010
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1710992482 (212) 777-1510
Access Physician PC
3.1 mi
Family Medicine
33 8TH AVE
Brooklyn, NY 11217
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1912183195 (609) 430-2922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10006 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 Pierce's NPI number?

The NPI number for Timothy Pierce is 1922631258. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Timothy Pierce located?

Timothy Pierce practices at 111 Broadway Rm 504, New York, NY 10006. The listed phone number is (212) 571-3331.

What is Timothy Pierce's specialty?

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

Is Timothy Pierce enrolled in Medicare?

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

Which organizations bill Medicare for Timothy Pierce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Pierce reassigns Medicare benefits to 2 organizations: Douglas H Bailyn, MD, PC (New York, NY) and Access Physician PC (Brooklyn, NY). 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 Pierce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Pierce was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.