DEJ NTSHIAB THOR PMHNP
NPI 1255138061
Nurse Practitioner - Psychiatric/Mental Health in Racine, WI
About Dej Ntshiab Thor Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEJ NTSHIAB THOR PMHNP (NPI 1255138061) is an individual psychiatric/mental health provider in Racine, Wisconsin, licensed in Wisconsin (1656233) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Dej Ntshiab Thor Pmhnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dej Thor's NPI number?
The NPI number for Dej Thor is 1255138061. It was assigned to this individual provider in the NPPES registry on February 27, 2025.
Where is Dej Thor located?
Dej Thor practices at 3726 Ruby Ave, Racine, WI 53402. The listed phone number is (262) 672-3612.
What is Dej Thor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dej Thor enrolled in Medicare?
Yes. Dej Thor 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 Dej Thor accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica, Providence Health Plan and UnitedHealthcare list Dej Thor 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 Dej Thor was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dej Ntshiab Thor, PMHNP · NPI 1255138061
Psychiatric/Mental Health physician in Racine, Wisconsin. Individual provider, active in the CMS NPPES registry since February 27, 2025.
## Identity
- **NPI:** 1255138061 (Entity type: Individual)
- **Enumerated:** February 27, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1656233 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3726 RUBY AVE, Racine, WI 53402-3076
- **Phone:** (262) 672-3612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255138061) · Data from the CMS NPPES public registry.