BLAIR A THEIS - NPI 1013568120 - Nurse Practitioner in Festus, MO

Q: What is Blair Theis's NPI number?

The NPI number for Blair Theis is 1013568120. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Q: What is Blair Theis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Blair Theis was last updated on February 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Blair A Theis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAIR A THEIS (NPI 1013568120) is an individual pediatrics provider in Festus, Missouri, licensed in Missouri (2013035893) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013568120

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBLAIR A THEIS

Location Address35 GOODWIN DRFestus, MO 63028-4122

Mailing Address35 Goodwin DrFestus, MO 63028-4122 · (636) 933-4141 · Fax (636) 931-7007

Phone(636) 933-4141

Fax(636) 931-7007

Sole ProprietorNo

Enumeration DateSeptember 20, 2019

Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2022

✔ NPI 1013568120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 2013035893

35 GOODWIN DR, Festus, MO 63028

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Secondary Practice Locations 2

Location 11309 Maple StFarmington, MO 63640-7641 · Phone (573) 756-4343 · Fax (573) 756-7191

Location 21 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 454-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blair A Theis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.