TIMOTHY A DEMING (N.P.) – Nurse Practitioner, NPI 1023397064

TIMOTHY A DEMING (N.P.) is a healthcare provider. based in Rockford, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 209008913 (IL). The NPI Number for TIMOTHY A DEMING (N.P.) is 1023397064

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY A DEMING (N.P.)
NPI
1023397064
Phone
(414) 290-6720
Address
1401 E STATE ST
Enumeration Date
9 August 2011
Last Update Date
9 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7796964400
Graduation Year
2010 (16 years ago)
PAC ID
1153596226
Group Practice PAC ID
4385007640
Professional Enrollment ID
I20111219000924
Address ID
IL611042315RO1401XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TIMOTHY A DEMING (N.P.)

  • 1401 E STATE ST

    ROCKFORD, IL 611042315

    Phone: (414) 290-6720

    Fax: (414) 290-6755

    Type: Location

  • 111 E WISCONSIN AVE

    SUITE 2000

    MILWAUKEE, WI 532024815

    Phone: (414) 290-6720

    Fax: (414) 290-6755

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($108).

Total Amount

$108

General + Research + Ownership

Payments

6

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$108
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: 2011-12-19

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
I20111219000924INurse PractitionerILTBD

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
99285Emergency department visit with high level of medical decision making131125$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only110103$0
99284Emergency department visit with moderate level of medical decision making6463$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 61104)

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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: 4385007640View full group profile
NameSpecialtyState
Emergency MedicineWV
Emergency MedicineWI
Emergency MedicineMI
Nurse PractitionerWI
Emergency MedicineCA
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineMI
Nurse PractitionerIL
Nurse PractitionerWI

Reviews

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Frequently asked questions

Can I verify TIMOTHY A DEMING (N.P.) with an NPI only?
You can start verification with NPI 1023397064 for TIMOTHY A DEMING (N.P.), then check state licensing separately.
Is TIMOTHY A DEMING (N.P.) still practicing?
TIMOTHY A DEMING (N.P.) is currently listed as active in the public NPI registry.
What is TIMOTHY A DEMING (N.P.)'s primary classification?
Nurse Practitioner is the headline specialty for TIMOTHY A DEMING (N.P.) here. Clinical services aligned with this taxonomy classification.
Where should I expect TIMOTHY A DEMING (N.P.) on a map?
Expect Rockford, Illinois as a primary anchor for TIMOTHY A DEMING (N.P.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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