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

Mr. Timothy Paul McCoy, CRNA

Individual provider Registered Nurse · NPI 1871132654

Mr. Timothy Paul McCoy, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kalamazoo, Michigan. Qualified in 2019, 7 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

900 Peeler St
Kalamazoo, MI 49008-2300
Phone: (269) 342-7833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704292961 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704292961 (MI)

Record details

NPI number1871132654
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 27, 2019
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated

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