MR. SEAN THEUS FNP-BC, PMHNP-BC
NPI 1245778620
Nurse Practitioner - Family in Los Angeles, CA
About Mr. Sean Theus Fnp-bc, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SEAN THEUS FNP-BC, PMHNP-BC (NPI 1245778620) is an individual family provider in Los Angeles, California, licensed in Arizona (AP9885) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tucson.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Sean Theus Fnp-bc, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Sean Theus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Lancaster, CA 93535
- Reassigned Medicare billing, California enrollment
- 70 clinicians in this Medicare group
Burlington, CT 06013
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
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 90064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sean Theus's NPI number?
The NPI number for Sean Theus is 1245778620. It was assigned to this individual provider in the NPPES registry on February 6, 2017.
Where is Sean Theus located?
Sean Theus practices at 11150 West Olympic Blvd 760, Los Angeles, CA 90064. The listed phone number is (424) 307-9504.
What is Sean Theus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sean Theus enrolled in Medicare?
Yes. Sean Theus is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sean Theus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Theus reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Los Angeles, CA), Bartz-Altadonna Community Health Center (Lancaster, CA) and Real Talk Ct (Burlington, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Theus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Theus accept?
Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Sean Theus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sean Theus was last updated on January 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Sean Theus, FNP-BC, PMHNP-BC · NPI 1245778620
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 6, 2017.
## Identity
- **NPI:** 1245778620 (Entity type: Individual)
- **Enumerated:** February 6, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP9885 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 11150 WEST OLYMPIC BLVD, 760, Los Angeles, CA 90064
- **Phone:** (424) 307-9504
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); Bartz-Altadonna Community Health Center (NPI 1811279763, Lancaster, CA); Real Talk Ct (NPI 1467948752, Burlington, CT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245778620) · Data from the CMS NPPES public registry.