Individual provider Active NPI

Paula Lisa Theodosis, RN, FNP-BC

  • Family Nurse Practitioner
  • San Saba, TX
National Provider Identifier
1740565142
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
751797 Issued in TX
Practice address
2005 W Wallace St
San Saba, TX 76877-3928
Phone
(325) 372-5163
Fax
(325) 372-3988
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 751797 TX Primary

Addresses

Primary practice location

2005 W Wallace St
San Saba, TX 76877-3928

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 215-9924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White Hospital - Marble FallsGroup PAC ID 6901117175, shared by 8 NPIs, 44 clinicians

Practice addresses (Care Compare)

810 W Hwy 71
Marble Falls Professional Services Group
Marble Falls, TX 78654-8602
Phone (830) 201-8000

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Marble Falls Hospital, Marble Falls, TX, CCN 670108
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
751797TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Hospital - Marble Falls CurrentSince Oct 15, 2019 Accepting new patients
Scott & White Hospital - Marble Falls CurrentSince Oct 15, 2019 Accepting new patients

Locations

101 E Jackson St
Burnet, TX 78611
Phone (512) 756-7510

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

2005 W Wallace St
San Saba, TX 76877
Phone (325) 372-5163

200 E Wallace St
San Saba, TX 76877
Phone (325) 372-5163

Interoperability endpoints

  • Direct secure messaging: ptheodosis14347@direct.sw.org

Organizations & group practices 2

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 3

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1740565142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-215-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W WALLACE ST",
            "city": "SAN SABA",
            "state": "TX",
            "postal_code": "768773928",
            "telephone_number": "325-372-5163",
            "fax_number": "325-372-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOSIS",
        "first_name": "PAULA",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "751797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Saba, TX

Sources for this page

Verify at the official NPI Registry.