Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy J Pellegrin, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134160815

Timothy J Pellegrin, PMHNP-BC is a Nurse Practitioner in Houma, Louisiana. Qualified in 2002, 24 years ago. Practices with Teche Action Board Inc, a 24-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
24
Licensed in
LA
In the registry since
2006
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1014 W Tunnel Blvd
Houma, LA 70360-4050
Phone: (985) 851-1717
Fax: (985) 868-3839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APO4222 (LA)

Record details

NPI number1134160815
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Teche Action Board Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Houma