MR. SEAN THEUS FNP-BC, PMHNP-BC
NPI 1245778620
Nurse Practitioner - Family in Los Angeles, CA

Active since February 06, 2017PECOS EnrolledAccepts Medicare Assignment
83.99/100
CMS Quality Rating
11150 WEST OLYMPIC BLVD, 760, LOS ANGELES, CA 90064(424) 307-9504 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2025, Aug 1, 2018, Feb 6, 2017 (3 updates tracked since 2017).

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, maintains a secondary practice location in Tucson, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245778620
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SEAN THEUSCredential: FNP-BC, PMHNP-BC
Location Address11150 WEST OLYMPIC BLVD, 760Los Angeles, CA 90064
Mailing Address20955 Devonshire St Ste BChatsworth, CA 91311-2313 · (661) 899-6767
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 6, 2017
Last NPPES UpdateJanuary 11, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2025
NPI 1245778620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in AZ · AP9885 Licensed in CA · 95008284
Also ListedFamily MedicineTaxonomy 207Q00000X · License 95008284 (CA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95008284 (CA)
11150 WEST OLYMPIC BLVD, Los Angeles, CA 90064

Secondary Practice Location 1

Location 110000 S Wilmot RdTucson, AZ 85756-8699 · Phone (520) 574-0024 ext. 36334

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Sean Theus Fnp-bc, Pmhnp-bc 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 ID6204102825
PECOS Enrollment IDI20180713002856
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 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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

83.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability91
Improvement Activities40
Cost68.53

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sean Theus accept?

Health plans from Blue Cross Blue Shield of Arizona and Providence Health Plan 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 with the weekly NPPES data releases published by CMS.