Yalixsa Then, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP032479 Issued in PA

Practice address

115 N Main St
Shenandoah, PA 17976-1756

Phone

(570) 671-0300

Fax

(570) 671-0305

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Sharon, PA
  • NPI 1417932609
  Medicare reassignment NPD
• Queens Medical Office, P.C.

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1922017789
  Medicare reassignment
• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Emlenton, PA
  • NPI 1750181038
  NPD
• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Shenandoah, PA
  • NPI 1407359060
  NPD (past)
• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Mercer, PA
  • NPI 1447382296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1689247207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "570-671-0300",
            "fax_number": "570-671-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761756",
            "telephone_number": "570-671-0300",
            "fax_number": "570-671-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 W Centre St",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "PA",
            "postal_code": "179761403",
            "country_code": "US",
            "telephone_number": "570-671-0300",
            "fax_number": "570-671-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEN",
        "first_name": "YALIXSA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032479",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347683",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "F347683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenandoah Heights Healthcare LLC
• Shenandoah Opco LLC
• Shenandoah Valley School District
• Sasha W Sherry
• Smnrc, LP
• Trinity Mission of Shenandoah Heights, LLC
• Sherley Vasquez, LPT
• Adolph Michael Wychulis, MD
• Logan J. Zeitler, MS, OTR/L

• Family Nurse Practitioner in Shenandoah, PA
• Providers in Shenandoah, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.

Verify at the official NPI Registry.