THRESIAMMA S ANTHONY RN, MSN-FNP-C
NPI 1215395439
Nurse Practitioner - Family in Prescott, AZ

Q: What is Thresiamma Anthony's NPI number?

The NPI number for Thresiamma Anthony is 1215395439. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Q: What is Thresiamma Anthony's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 02, 2016PECOS EnrolledAccepts Medicare Assignment

1090 COMMERCE DR, PRESCOTT, AZ 86305(928) 583-1000(866) 323-8458 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 2, 2026, Sep 12, 2022, Feb 2, 2016 (3 updates tracked since 2016).

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About Thresiamma S Anthony Rn, Msn-fnp-c NPPES

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

THRESIAMMA S ANTHONY RN, MSN-FNP-C (NPI 1215395439) is an individual family provider in Prescott, Arizona, licensed in Arizona (AP8386) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Prescott Valley, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1215395439

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHRESIAMMA S ANTHONYCredential: RN, MSN-FNP-C

Location Address1090 COMMERCE DRPrescott, AZ 86305-3700

Mailing Address1090 Commerce DrPrescott, AZ 86305-3700 · (928) 583-1000 · Fax (866) 751-4157

Phone(928) 583-1000

Fax(866) 323-8458

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 2, 2016

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1215395439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP8386

1090 COMMERCE DR, Prescott, AZ 86305

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Secondary Practice Location 1

Location 13212 N Windsong Dr Ste 200Prescott Valley, AZ 86314-2255 · Phone (928) 583-1000 · Fax (866) 751-4157

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thresiamma S Anthony Rn, Msn-fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375818107

PECOS Enrollment IDI20171004003021

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.

Medicare Billing Reassignment

Medicare enrollment records show Thresiamma Anthony reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Yavapai

Same address

Public Health or Welfare

1090 COMMERCE DR
Prescott, AZ 86305

Reassigned Medicare billing, Arizona enrollment
27 clinicians in this Medicare group

NPI 1235256637 (928) 583-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers19 claims51 services$6.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GALEN FRANCIS RICHMOND APRN

Nurse Practitioner (Pediatrics)