Active NPI
Beth Theis, CRNP
- Nurse Practitioner
- California, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP009512
- Practice address
- 415 3Rd St
California, PA 15419-1102 - Phone
- (724) 938-7466
- Fax
- (724) 938-7470
- NPI assigned
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP009512 | PA | Primary |
Addresses
Primary practice location
415 3Rd St
California, PA 15419-1102
Mailing address
415 3Rd St
California, PA 15419-1102
Phone (724) 938-7466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP009512 | Other | PA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080424000053 | PA | Practitioner - Nurse Practitioner | 9830277318 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington Physician Services
Practice addresses (Care Compare)
190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970
Hospital & facility affiliations
- Amedisys Home Health of PA
- Concordia Visiting Nurses
- Washington Hospital, the
- Upmc Greene
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP009512 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Valley Multispecialty Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Heritage Valley Multispecialty Group, Inc. | Current | Accepting new patients | |
| Washington Physician Services | Nurse Practitioner | Current | Accepting new patients |
| Health Futures Inc | Past | Accepting new patients |
Locations
500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683
2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
415 3rd St
California, PA 15419
Phone (724) 938-0420
155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342
190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335
Interoperability endpoints
- beth.theis@whc.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
Nurse Practitioner, PA
-
- Rural Health Clinic/Center
- Waynesburg, PA
- NPI 1568483089
-
- Family Medicine Physician
- Aliquippa, PA
- NPI 1518435981
Nurse Practitioner
-
- Urgent Care Clinic/Center
- McMurray, PA
- NPI 1750586673
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Uniontown, PA
- NPI 1598719379
-
- Home Health Agency
- Cabot, PA
- NPI 1669474847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1265613566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 3RD ST",
"city": "CALIFORNIA",
"state": "PA",
"postal_code": "154191102",
"telephone_number": "724-938-7466",
"fax_number": "724-938-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 3RD ST",
"city": "CALIFORNIA",
"state": "PA",
"postal_code": "154191102",
"telephone_number": "724-938-7466",
"fax_number": "724-938-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEIS",
"first_name": "BETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP009512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SP009512",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in California, PA
- Trisha L Shuba, B.A.
- Sarah Elizabeth Sismondo, LAT, ATC
- Erika Vanessa Soto, LAT, ATC
- Amber Spear, DR PT
- Crystal Jean Tedrow, A.A.S.
- Ryan Kenneth Trombley, PT, DPT, LAT, ATC
- University Chiropractic and Myofascial Pain Center, LLC
- Ronald W Wagner, ATC
- Washington Physician Services Organization
- Anthony Louis Watkins, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.