TIMOTHY LAURIN (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700214665
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
16 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MI
Provider Addresses for TIMOTHY LAURIN (NP)
1640 FORT ST
SUITE D ATTN DENISE
TRENTON, MI 481832040
Phone: (734) 391-3057
Fax: (734) 391-3052
Type: Mailing
1 FORD PL STE 3A
DETROIT, MI 482023450
Phone: (138) 744-8063
Type: Mailing
2333 BIDDLE AVE
WYANDOTTE, MI 481924668
Phone: (734) 246-6000
Type: Location
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: 2021-11-18
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 |
|---|---|---|---|---|
| I20140224001869 | I | Certified Clinical Nurse Specialist (Cns) | MI | TBD |
| I20211118001719 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 41 | 40 | $0 |
Insurance plans in this area (ZIP 48183)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Gastroenterology, Internal Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI |
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