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

Timothy Lyle Fellman, APRN, CNP

Individual provider Family Nurse Practitioner · NPI 1376014084

Timothy Lyle Fellman, APRN, CNP is a Nurse Practitioner in Duluth, Minnesota. Qualified in 2023, 3 years ago. Practices with Polinsky Medical Rehabilitation Center, a 380-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
3
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

400 E 3rd St
Duluth, MN 55805-1951
Phone: (218) 786-8364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10616 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14478-33 (WI)

Record details

NPI number1376014084
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedDecember 7, 2018
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Polinsky Medical Rehabilitation Center — 380 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Duluth