Individual provider Active NPI

Beth Theis, CRNP

  • Nurse Practitioner
  • California, PA
National Provider Identifier
1265613566
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP009512 Issued in PA
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

Updated by the provider on Jan 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SP009512OtherPALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 106 clinicians

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 Home health agency, Uniontown, PA, CCN 397139
  • Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042
  • Upmc Greene Hospital, Waynesburg, PA, CCN 390150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP009512PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Nurse Practitioner CurrentSince Jun 27, 2016 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jun 27, 2016 Accepting new patients
Washington Physician Services Nurse Practitioner CurrentSince Sep 17, 2009 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.