MR. TIMOTHY G JR. HARRELSON (PA) – Physician Assistant, NPI 1952391559

MR. TIMOTHY G JR. HARRELSON (PA) is a healthcare provider. based in Anchorage, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MR. TIMOTHY G JR. HARRELSON (PA) is 1952391559

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY G JR. HARRELSON (PA)
NPI
1952391559
Phone
(907) 644-8446
Address
3909 ARCTIC BLVD STE 101
Enumeration Date
25 October 2005
Last Update Date
7 February 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
9077702380
Graduation Year
2002 (24 years ago)
PAC ID
8426274812
Group Practice PAC ID
0042505018
Professional Enrollment ID
I20150801017339
Address ID
AK995035769AN3909XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

551 PHYSICIAN ASSISTANT in AK

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Provider Addresses for MR. TIMOTHY G JR. HARRELSON (PA)

  • Arctic Boulevard, Anchorage, Alaska, 99518, United States

    ANCHORAGE, AK 995035769

    Phone: (907) 644-8446

    Fax: (907) 644-8448

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2023-01-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($96).

Total Amount

$96

General + Research + Ownership

Payments

1

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$96
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150801017339IPhysician AssistantAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2011$0
View full utilization report →

Insurance plans in this area (ZIP 99503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042505018View full group profile
NameSpecialtyState
Physician AssistantWA
Registered Dietitian Or Nutrition ProfessionalAK
Registered Dietitian Or Nutrition ProfessionalAK
General SurgeryAK
Physician AssistantAK
Clinical PsychologistAK
Clinical Social WorkerAK
General SurgeryGA
Clinical PsychologistOR
Registered Dietitian Or Nutrition ProfessionalAK

Reviews

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Frequently asked questions

What NPI should I save for MR. TIMOTHY G JR. HARRELSON (PA)?
Save NPI 1952391559 if you need a stable reference for MR. TIMOTHY G JR. HARRELSON (PA).
Does this profile mean MR. TIMOTHY G JR. HARRELSON (PA) is currently active?
Yes — MR. TIMOTHY G JR. HARRELSON (PA) appears active in the national provider directory.
What does MR. TIMOTHY G JR. HARRELSON (PA) treat or focus on?
Patients typically see MR. TIMOTHY G JR. HARRELSON (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MR. TIMOTHY G JR. HARRELSON (PA)?
We surface Anchorage, Alaska for MR. TIMOTHY G JR. HARRELSON (PA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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