THERA T RADNEY NP-C
NPI 1396281234
Nurse Practitioner - Family in Detroit, MI

Active since January 17, 2017PECOS Enrolled
20720 PLYMOUTH RD, DETROIT, MI 48228(313) 493-4330(313) 493-4419 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Jan 8, 2021, Sep 3, 2019 and 3 more (6 updates tracked since 2017).

About Thera T Radney Np-c NPPES

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

THERA T RADNEY NP-C (NPI 1396281234) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704282153) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396281234
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERA T RADNEYCredential: NP-C
Location Address20720 PLYMOUTH RDDetroit, MI 48228-1275
Mailing Address28212 Franklin RdSouthfield, MI 48034-1659 · (248) 356-5555 · Fax (248) 356-5544
Fax(313) 493-4419
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 17, 2017
Last NPPES UpdateMarch 25, 20216 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1396281234 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 MI · 4704282153
20720 PLYMOUTH RD, Detroit, MI 48228

Other Names 1

Former Name (1)Thera Terres Simmons

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 (PECOS)

Thera T Radney Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012284045
PECOS Enrollment IDI20170523002439
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 48228 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 17

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

Dentist
20720 PLYMOUTH RD
DETROIT, MI 48228
Physician Assistant
20720 PLYMOUTH RD
DETROIT, MI 48228
Dentist
20720 PLYMOUTH RD
DETROIT, MI 48228
Dentist
20720 PLYMOUTH RD
DETROIT, MI 48228
Nurse Practitioner (Family)
20720 PLYMOUTH RD
DETROIT, MI 48228
Nurse Practitioner (Family)
20720 PLYMOUTH RD
DETROIT, MI 48228
Family Medicine
20720 PLYMOUTH RD
DETROIT, MI 48228
Dentist
20720 PLYMOUTH RD
DETROIT, MI 48228

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 Thera Radney's NPI number?

The NPI number for Thera Radney is 1396281234. It was assigned to this individual provider in the NPPES registry on January 17, 2017. The provider is also known as Thera Terres Simmons.

Where is Thera Radney located?

Thera Radney practices at 20720 Plymouth Rd, Detroit, MI 48228. The listed phone number is (313) 493-4330.

What is Thera Radney's specialty?

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

Is Thera Radney enrolled in Medicare?

Yes. Thera Radney is registered in the Medicare PECOS enrollment system.

What insurance does Thera Radney accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Thera Radney 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 Thera Radney was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.