Active NPI
Theresa L Tomlinson, CRNP
- Adult Health Nurse Practitioner
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP012446
- Practice address
- 924 Colonial Ave
Suite B
York, PA 17403-3450 - Phone
- (717) 851-7315
- Fax
- (717) 843-6682
- NPI assigned
- Oct 18, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP012446 | PA | Primary |
Addresses
Primary practice location
924 Colonial Ave
Suite B
York, PA 17403-3450
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-7315
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1617427 | Other | PA | GATEWAY MEDICARE ASSURED |
| 2793595 | Other | PA | HIGHMARK BLUE SHIELD FREEDOM BLUE |
Other names 1
- Theresa L Kohlbus
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2350 Freedom Way
Suite 150
York, PA 17402-8200
Phone (717) 851-7315
Hospital & facility affiliations
- Wellspan Vna Home Care
- Wellspan York Hospital
- Gettysburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012446 | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
2350 Freedom Way
Ste 150
York, PA 17402
Phone (717) 851-7315
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
924 Colonial Ave
Ste B
York, PA 17403
Phone (717) 843-8623
Interoperability endpoints
- ttomlinson97039@wellspan.direct-ci.com
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Podiatrist
- Chambersburg, PA
- NPI 1033897228
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- Home Health Agency
- York, PA
- NPI 1437172301
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1649523408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-7315",
"fax_number": "717-741-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 COLONIAL AVE",
"address_2": "SUITE B",
"city": "YORK",
"state": "PA",
"postal_code": "174033450",
"telephone_number": "717-851-7315",
"fax_number": "717-843-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLINSON",
"first_name": "THERESA",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP012446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY MEDICARE ASSURED",
"identifier": "1617427",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD FREEDOM BLUE",
"identifier": "2793595",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "KOHLBUS",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.