TIM BOMBARD – Family Nurse Practitioner, NPI 1669470993
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TIM BOMBARD
Palisado Avenue, Hayden, Windsor, Hartford County, Connecticut, 06095, United States
WINDSOR, CT 060952037
Phone: (860) 214-4513
Type: Location
843 MAIN ST # 15
MANCHESTER, CT 060406020
Phone: (860) 648-3001
Fax: (860) 648-3003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,040.
Total Amount is formed as General ($1,040) + Research ($0) + Ownership ($0) = $1,040.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($552).
Total Amount
$1,040
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,040
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040209000104 | I | Nurse Practitioner | CT | TBD |
| I20080512000487 | I | Nurse Practitioner | MA | TBD |
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.
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 06095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CT | |
| Nurse Practitioner | FL | |
| - | MA | |
| - | CT | |
| Addiction Medicine, Family Practice | CT | |
| Clinical Social Worker | CT |
Reviews
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