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MRS. THERESA ANDERSON N.P.
NPI 1295101483
Nurse Practitioner - Adult Health in Van Nuys, CA

Active since August 11, 2015PECOS EnrolledAccepts Medicare Assignment
13755 VICTORY BLVD, VAN NUYS, CA 91401(818) 988-9825(818) 988-9305 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Theresa Anderson N.p. NPPES

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

MRS. THERESA ANDERSON N.P. (NPI 1295101483) is an individual adult health provider in Van Nuys, California, licensed in California (NP95002121) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295101483
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. THERESA ANDERSONCredential: N.P.
Location Address13755 VICTORY BLVDVan Nuys, CA 91401-2348
Mailing Address13755 Victory BlvdVan Nuys, CA 91401-2348 · (818) 988-9825 · Fax (818) 988-9305
Phone(818) 988-9825
Fax(818) 988-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 11, 2015
✔ NPI 1295101483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · NP95002121
13755 VICTORY BLVD, Van Nuys, CA 91401
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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

Mrs. Theresa Anderson N.p. 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 ID5890032320
PECOS Enrollment IDI20190122003517
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 Reassignments

2

Medicare enrollment records show Theresa Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Angel Wings Medical Associates
6.6 mi
Urgent Care
1130 WEST OLIVE AVE.
Burbank, CA 91506
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1366942666 (818) 645-5686
Open Door Community Health Centers
541 mi
Federally Qualified Health Center (FQHC)
3750 ROHNERVILLE ROAD
Fortuna, CA 95540
  • Reassigned Medicare billing, California enrollment
  • 175 clinicians in this Medicare group
NPI 1306252051 (707) 725-6101

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
77 services46 patients
Urinalysis using microscope 81015
Urinalysis with a microscope is a test that helps detect issues in your body. A small sample of your urine is examined under a microscope. This allows the detection of substances not visible to the naked eye, aiding in diagnosing various health conditions.
26 services22 patients
Wet mounts, including preparations of vaginal, cervical or skin specimens Q0111
Wet mounts are lab tests that help analyze certain types of samples from your body. This could include samples from skin or other areas. The sample is placed on a glass slide and examined under a microscope to identify any potential issues. It's a simple, quick, and painless procedure.
17 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91401 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.

Other Providers at the Same Location NPPES 2

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

VICTORY MEDICAL CLINIC
General Practice
13755 VICTORY BLVD
VAN NUYS, CA 91401
Los Angeles County (818) 262-4401
GREEN VICTORY MEDICAL
Family Medicine
13755 VICTORY BLVD
VAN NUYS, CA 91401
Los Angeles County (818) 855-8839

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 Theresa Anderson's NPI number?

The NPI number for Theresa Anderson is 1295101483. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Theresa Anderson located?

Theresa Anderson practices at 13755 Victory Blvd, Van Nuys, CA 91401. The listed phone number is (818) 988-9825.

What is Theresa Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Theresa Anderson enrolled in Medicare?

Yes. Theresa Anderson 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.

Which organizations bill Medicare for Theresa Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Anderson reassigns Medicare benefits to 2 organizations: Angel Wings Medical Associates (Burbank, CA) and Open Door Community Health Centers (Fortuna, CA). 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 Theresa Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Anderson was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.