TIMOTHY AMBORSKI (NP) – Nurse Practitioner, NPI 1629578703
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIMOTHY AMBORSKI (NP)
800 M 139
BENTON HARBOR, MI 490223881
Phone: (855) 869-6900
Fax: (269) 927-4208
Type: Location
820, Arlington Avenue, Bay View, Petoskey, Bear Creek Township, Emmet County, Michigan, 49770, United States
PETOSKEY, MI 497702469
Phone: (231) 487-9355
Fax: (231) 487-1737
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $174.
Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($80).
Total Amount
$174
General + Research + Ownership
Payments
8
Total payment records
General Amount
$174
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $80 |
| Lilly USA, LLC | $30 |
| GlaxoSmithKline, LLC. | $25 |
| Merck Sharp & Dohme LLC | $25 |
| Novo Nordisk Inc | $13 |
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: 2018-06-01
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180601001293 | I | Nurse Practitioner | MI | 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 49022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| Thoracic Surgery, Cardiac Surgery | MI | |
| N E U R O L O G Y | MI | |
| Physical Medicine And Rehabilitation | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI |
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