TIMOTHY MICHAEL DOLAN CRNA
NPI 1932653516
Nurse Anesthetist, Certified Registered in Loves Park, IL
About Timothy Michael Dolan Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY MICHAEL DOLAN CRNA (NPI 1932653516) is an individual nurse anesthetist, certified registered in Loves Park, Illinois, licensed in Illinois (209014799) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains a secondary practice location in Galena.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 Michael Dolan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Dolan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loves Park, IL 61111
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Anesthesiologists Associated LLC
- 46 clinicians in this Medicare group
Elizabeth, IL 61028
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1952409765 (Illinois)
- 51 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fhn Memorial Hospital
Acute Care Hospitals · Freeport, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61111 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.
LOVES PARK, IL 61111
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 Dolan's NPI number?
The NPI number for Timothy Dolan is 1932653516. It was assigned to this individual provider in the NPPES registry on August 11, 2016.
Where is Timothy Dolan located?
Timothy Dolan practices at 2202 Harlem Rd Suite 200, Loves Park, IL 61111. The listed phone number is (815) 877-4848.
What is Timothy Dolan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Timothy Dolan enrolled in Medicare?
Yes. Timothy Dolan 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 Dolan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Dolan reassigns Medicare benefits to 2 organizations: Rockford Anesthesiologists Associated, L.L.C. (Loves Park, IL) and Midwest Medical Center (Elizabeth, IL). 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 Dolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Dolan affiliated with any hospitals?
According to CMS data, Timothy Dolan is affiliated with Fhn Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Dolan was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Timothy Michael Dolan, CRNA · NPI 1932653516
Nurse Anesthetist, Certified Registered physician in Loves Park, Illinois. Individual provider, active in the CMS NPPES registry since August 11, 2016.
## Identity
- **NPI:** 1932653516 (Entity type: Individual)
- **Enumerated:** August 11, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209014799 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2202 HARLEM RD, SUITE 200, Loves Park, IL 61111-2754
- **Phone:** (815) 877-4848
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rockford Anesthesiologists Associated, L.L.C. (NPI 1629090642, Loves Park, IL); Midwest Medical Center (NPI 1295126944, Elizabeth, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1932653516) · Data from the CMS NPPES public registry.