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

Timothy Ryan Short, NP-C

Individual provider Family Nurse Practitioner · NPI 1114696069

Timothy Ryan Short, NP-C is a Nurse Practitioner in Adrian, Michigan. Graduated from University of Toledo College of Medicine in 2021, 5 years ago. Practices with Promedica Central Corporation of Michigan, a 112-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Trained at
University of Toledo College of Medicine
Licensed in
MI
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

146 S Charles St
Adrian, MI 49221-2556
Phone: (517) 366-5000
Fax: (517) 366-5002
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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 4704335486 (MI)

Record details

NPI number1114696069
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESNovember 3, 2023
Certification dateMarch 2, 2022
Mailing address146 S Charles St, Adrian, MI 49221-2556

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Promedica Central Corporation Of Michigan — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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