COURTNEY TIMBERLAKE (NP-C) – Family Nurse Practitioner, NPI 1215480512

COURTNEY TIMBERLAKE (NP-C) is a healthcare provider. based in Tallmadge, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 019421 (OH). The NPI Number for COURTNEY TIMBERLAKE (NP-C) is 1215480512

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY TIMBERLAKE (NP-C)
NPI
1215480512
Phone
(330) 633-3883
Address
33 NORTH AVE
Enumeration Date
3 August 2016
Last Update Date
5 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3308965077
Graduation Year
2016 (10 years ago)
PAC ID
1254626229
Group Practice PAC ID
4183529340
Professional Enrollment ID
I20160830001561
Address ID
OH442241032ST4300XRDXX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for COURTNEY TIMBERLAKE (NP-C)

  • 33, North Avenue, Tallmadge Town Square Historic District, Tallmadge, Summit County, Ohio, 44278, United States

    SUITE 103

    TALLMADGE, OH 442781925

    Phone: (330) 633-3883

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: ABBVIE INC. ($78).

Total Amount

$204

General + Research + Ownership

Payments

13

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-08-30

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
I20160830001561INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2520$0
99214Established patient office or other outpatient visit, 30-39 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 44278)

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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: 4183529340View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Gynecological OncologyFL
-OH
A N E S T H E S I O L O G YIL
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
Rheumatology, Internal MedicineOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

What is COURTNEY TIMBERLAKE (NP-C)'s NPI number?
COURTNEY TIMBERLAKE (NP-C)'s NPI is 1215480512 — the number used across U.S. healthcare to identify this provider.
Is there an active status for COURTNEY TIMBERLAKE (NP-C)?
For scheduling context, COURTNEY TIMBERLAKE (NP-C) is shown as active in the registry.
What expertise is attributed to COURTNEY TIMBERLAKE (NP-C)?
COURTNEY TIMBERLAKE (NP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is COURTNEY TIMBERLAKE (NP-C) associated with Tallmadge?
Public fields place COURTNEY TIMBERLAKE (NP-C) around Tallmadge, Ohio. Always confirm the exact site before visiting.
Does COURTNEY TIMBERLAKE (NP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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