Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Martin Carroll, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1902446248

Mr. Timothy Martin Carroll, AGACNP-BC is a Nurse Practitioner in Erie, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Regional Health Services Inc, a 576-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2020

Practice location Address checks out

300 State St Fl 4
Erie, PA 16507-1427
Phone: (814) 877-5330
Fax: (814) 877-5331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP021146 (PA)

Record details

NPI number1902446248
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJanuary 15, 2020
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Regional Health Services Inc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Erie