SOM N TIMSINA (CRNP) – Gerontology Nurse Practitioner, NPI 1326770413

SOM N TIMSINA (CRNP) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP028919 (PA). The NPI Number for SOM N TIMSINA (CRNP) is 1326770413

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
SOM N TIMSINA (CRNP)
NPI
1326770413
Phone
(678) 323-6194
Address
4287 S CAROLINA DR
Enumeration Date
27 June 2022
Last Update Date
4 May 2024

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7172303906
Graduation Year
2005 (21 years ago)
PAC ID
3072056605
Group Practice PAC ID
0042119547
Professional Enrollment ID
I20251217001769
Address ID
PA171041123HA110XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for SOM N TIMSINA (CRNP)

  • 4287 S CAROLINA DR

    HARRISBURG, PA 171129550

    Phone: (678) 323-6194

    Type: Mailing

  • 110 S 17TH ST

    HARRISBURG, PA 171041123

    Phone: (717) 232-9971

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($24).

Total Amount

$96

General + Research + Ownership

Payments

5

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

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: 2025-12-17

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
I20251217001769INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17112)

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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: 0042119547View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseasePA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA
P O D I A T R YPA
P O D I A T R YPA
Family PracticePA
Nurse PractitionerPA
Nurse PractitionerPA
Internal MedicinePA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Does SOM N TIMSINA (CRNP) have a public NPI I can cite?
Public records show SOM N TIMSINA (CRNP) under NPI 1326770413.
Quick check: is SOM N TIMSINA (CRNP) active?
Public NPPES data shows SOM N TIMSINA (CRNP) with an active NPI status right now.
Which specialty label fits SOM N TIMSINA (CRNP)?
NPPES ties SOM N TIMSINA (CRNP) to Gerontology Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SOM N TIMSINA (CRNP)?
SOM N TIMSINA (CRNP) shows a connection to Harrisburg, Pennsylvania in registry-derived data.
Can I export SOM N TIMSINA (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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