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

Nicole Lynn Timm

Individual provider Physician Assistant · NPI 1790429538

Nicole Lynn Timm is a Physician Assistant in Des Moines, Iowa. Qualified in 2024, 2 years ago. Practices with ENT Professional Services PC, a 9-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
2
Licensed in
IA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2507 University Ave
Des Moines, IA 50311-4516
Phone: (515) 271-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 114351 (IA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1790429538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ent Professional Services Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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