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Deactivated NPI 1508196718 Deactivated / Inactive NPI Male Practitioner

Timothy W. Henkels , ANP

Nurse Practitioner • Siletz, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Timothy Henkels has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2010
NPI Deactivation Date July 31, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Timothy Henkels, ANP was a registered Nurse Practitioner practicing in Siletz, OR. Throughout an active medical career spanning 15 years, Timothy Henkels provided care at the practice location at 200 GWEE SHUT ROAD until profile deactivation on 2025-07-31.

Practice Location & Contact Primary Location

Practice Address

200 Gwee Shut Road

Siletz, OR 97380

Telephone 5414441030
Fax 5414449695
Associated Practice Facility / Clinic
🏢 Confederated Tribes Of Siletz Facility NPI 1316040249

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Siletz, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Siletz, OR (615 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NM CNP-01516

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laura Bremner

Community Health Worker

NPI 1003691171
Todd Logan , CADC R

Counselor - Addiction (Substance Use Disorder)

NPI 1013740836

CADCR

Conrad Douma , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1023131646

CADCI

Dr. Lisa Emond , MD

Internal Medicine

NPI 1033101324

Doctor of Medicine (M.D.)

Dr. James Haeg , MD

Family Medicine

NPI 1033324264

Doctor of Medicine (M.D.)

Angeline Poirier , THW

Community Health Worker

NPI 1043176423

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

NPI Profile Active March 06, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 06, 2015

Registered at 200 GWEE SHUT ROAD, SILETZ, OR 97380 (Tel: 5414441030)

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Updated Business Mailing Address March 06, 2015

Registered at PO BOX 320, SILETZ, OR 97380 (Tel: 5414441030)

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Provider Name / Credentials Updated March 06, 2015

Recorded as TIMOTHY HENKELS, ANP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2015

Nurse Practitioner (License #CNP-01516 in NM)

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Initial NPI Registration & Enumeration January 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508196718
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2010
Last Update: March 06, 2015
Deactivation Date: July 31, 2025

Mailing Address

Po Box 320

Siletz, OR 97380

Phone: 5414441030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.