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MR. TIMOTHY LEE TRAUGOTT ACNP NPI 1881858694


NPI Information

NPI: 1881858694
Provider Name: MR. TIMOTHY LEE TRAUGOTT, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
15855 19 MILE RD
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 263-2300
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MR. Timothy Lee Traugott, ACNP is an acute care nurse practitioner in Clinton Township, MI with 17 years of experience. MR. Timothy Lee Traugott, ACNP NPI is 1881858694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2007

The provider's business location address is:

15855 19 MILE RD
CLINTON TOWNSHIP, MI
ZIP 48038-504
Phone: (586) 263-2300
Fax: (313) 876-1305

The NPI 1881858694 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

The enumeration date for this NPI number is 7/11/2008 and was last updated on 1/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical Nurse683774TEXASNo
2363L00000XNurse PractitionerAP116679TEXASNo
3363L00000XNurse Practitioner9826WISCONSINNo
4363L00000XNurse PractitionerL154631IOWANo
5363L00000XNurse PractitionerAP11174ARIZONANo
6363L00000XNurse Practitioner4704351488MICHIGANNo
7363LA2100XNurse PractitionerAcute Care683774TEXASNo
8363LA2100XNurse PractitionerAcute Care4704351488MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11881858694OTHERTEXASBLUE CROSS BLUE SHIELD
2P01254148OTHERTEXASMEDICARE RR
3282228003MEDICAIDTEXAS
4100096797MEDICAIDWISCONSIN
5282228002MEDICAIDTEXAS
6P00982598OTHERTEXASMEDICARE RR
7845N38OTHERTEXASBLUE CROSS BLUE SHIELD
8282228004MEDICAIDTEXAS
9P01094717OTHERTEXASRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.