TIMOTHY WILLIAM WALROD – Psychiatric/Mental Health Nurse Practitioner, NPI 1194688739

TIMOTHY WILLIAM WALROD is a healthcare provider. based in Folsom, California. specializing in NURSE PRACTITIONER. They hold a License No. 95037789 (CA). The NPI Number for TIMOTHY WILLIAM WALROD is 1194688739

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
TIMOTHY WILLIAM WALROD
NPI
1194688739
Phone
(916) 983-8868
Address
82 CLARKSVILLE RD
Enumeration Date
9 December 2025
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169838868
Graduation Year
2025 (1 year ago)
PAC ID
2860979192
Group Practice PAC ID
7618062225
Professional Enrollment ID
I20260116003131
Address ID
CA956308210FO82XXXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for TIMOTHY WILLIAM WALROD

  • 82 CLARKSVILLE RD

    FOLSOM, CA 956308209

    Phone: (916) 983-8868

    Type: Location

  • 3675 T ST APT 136

    SACRAMENTO, CA 958166665

    Phone: (916) 983-8868

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-16

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
I20260116003131INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95630)

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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: 7618062225View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Family PracticeWA
Family PracticeCA
Physician AssistantCA
Physician AssistantCA
Marriage And Family TherapistCA
Family PracticeCA
Physician AssistantNJ
Family PracticeKS

Reviews

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Frequently asked questions

Is TIMOTHY WILLIAM WALROD listed with a National Provider Identifier?
Yes — TIMOTHY WILLIAM WALROD has NPI 1194688739 on file in the registry.
Is there an active status for TIMOTHY WILLIAM WALROD?
For scheduling context, TIMOTHY WILLIAM WALROD is shown as active in the registry.
What area of care is associated with TIMOTHY WILLIAM WALROD?
TIMOTHY WILLIAM WALROD's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with TIMOTHY WILLIAM WALROD?
Directory geography for TIMOTHY WILLIAM WALROD centers on Folsom, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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