TIMOTHY ROBERT LA GASSE (NP) – Acute Care Nurse Practitioner, NPI 1013424191

TIMOTHY ROBERT LA GASSE (NP) is a healthcare provider. based in Walloon lake, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704249602 (MI). The NPI Number for TIMOTHY ROBERT LA GASSE (NP) is 1013424191

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY ROBERT LA GASSE (NP)
NPI
1013424191
Phone
(231) 535-6067
Address
PO BOX 185
Enumeration Date
10 January 2018
Last Update Date
10 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062939200
Graduation Year
2017 (9 years ago)
PAC ID
5193086395
Group Practice PAC ID
5799671285
Professional Enrollment ID
I20180305001184
Address ID
MI498681209NE502XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for TIMOTHY ROBERT LA GASSE (NP)

  • 185, Montagne Sainte-Walburge, Pierreuse, Liège, Wallonia, LIÈGE, Belgium

    WALLOON LAKE, MI 497960185

    Phone: (231) 535-6067

    Type: Mailing

  • 401, Connable Avenue, Petoskey, Emmet County, Michigan, 49770, United States

    PETOSKEY, MI 49770

    Phone: (231) 487-4520

    Type: Location

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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-03-22 • Largest payer in this snapshot: MY01 Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MY01 Inc.$17
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: 2018-03-05

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
I20180305001184INurse PractitionerMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 49796)

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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: 5799671285View full group profile
NameSpecialtyState
Nurse PractitionerMI
Diagnostic RadiologyMI
Nurse PractitionerMI
Emergency MedicineMI
Family PracticeMI
-MI
Family Practice, Emergency MedicineMI
-ME
Sleep Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to TIMOTHY ROBERT LA GASSE (NP)?
NPI 1013424191 is assigned to TIMOTHY ROBERT LA GASSE (NP) under the national enumeration system.
Is TIMOTHY ROBERT LA GASSE (NP) active in the national directory?
TIMOTHY ROBERT LA GASSE (NP)'s public NPI profile is in an active state.
What kind of provider is TIMOTHY ROBERT LA GASSE (NP)?
The page reflects Acute Care Nurse Practitioner for TIMOTHY ROBERT LA GASSE (NP). Clinical services aligned with this taxonomy classification.
Where does public data place TIMOTHY ROBERT LA GASSE (NP)?
The snapshot lists Walloon Lake, Michigan for TIMOTHY ROBERT LA GASSE (NP); download NPPES for the complete set.
Is TIMOTHY ROBERT LA GASSE (NP) a real provider?
This page reflects official NPPES data for NPI 1013424191. Always confirm identity and privileges with the practice and licensing boards.

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