TIMOTHY W ATKINSON, MD — NPI 1265503742 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care in FT WAINWRIGHT, AK)

CMS-1500 Box 24J / 33a • NPI

1265503742

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LA2100X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care

Box 32 Service Location & ZIP+4

1060 GAFFNEY RD # 7440, COMMANDER, USA-MEDDAC-AK ATTN MCUC-MMD-QM(CREDENTIALS), FT WAINWRIGHT, AK, 99703-5001

✓ 9-Digit EDI 837 ZIP+4 (99703-5001)

Practice Phone & Referral Fax

(907) 353-5418

Fax: (907) 353-4847

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265503742 (TIMOTHY W ATKINSON, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265503742` (NPI-1 Individual Practitioner)
Provider / Legal Name	TIMOTHY W ATKINSON, MD
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care NUCC Code: `363LA2100X` (Nurse Practitioner, Acute Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1060 GAFFNEY RD # 7440, COMMANDER, USA-MEDDAC-AK ATTN MCUC-MMD-QM(CREDENTIALS), FT WAINWRIGHT, AK, 99703-5001
Practice Telephone / Fax	Tel: (907) 353-5418 \| Fax: (907) 353-4847
Administrative Mailing Address	1060 GAFFNEY RD # 7440, FT WAINWRIGHT, AK, 99703-5001
Enumeration & Last Sync	Enumerated: 2006-11-13 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1060 GAFFNEY RD # 7440, COMMANDER, USA-MEDDAC-AK ATTN MCUC-MMD-QM(CREDENTIALS), FT WAINWRIGHT, AK, 99703-5001

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Plain-English Taxonomy & CMS Crosswalk (363LA2100X)

What Does Taxonomy Code 363LA2100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2100X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Acute Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TIMOTHY W ATKINSON, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363AM0700X` — Physician Assistant, Medical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical	State: AK \| License: `260` \| Primary: Secondary
`363LA2100X` — Nurse Practitioner, Acute Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care	State: WA \| License: `PA 1004563` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TIMOTHY W ATKINSON, MD (NPI #1265503742)