KARISSA THUESON NNP
NPI 1396352142
Nurse Practitioner - Neonatal in Rexburg, ID

Q: What is Karissa Thueson's NPI number?

The NPI number for Karissa Thueson is 1396352142. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Q: What is Karissa Thueson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Karissa Thueson was last updated on September 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2020PECOS Enrolled

450 E MAIN ST, REXBURG, ID 83440(208) 359-6900 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Karissa Thueson Nnp NPPES

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

KARISSA THUESON NNP (NPI 1396352142) is an individual neonatal provider in Rexburg, Idaho, licensed in Idaho (65959) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396352142

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameKARISSA THUESONCredential: NNP

Location Address450 E MAIN STRexburg, ID 83440-2048

Mailing Address301 N 3811 ERigby, ID 83442-5186 · (208) 497-8114

Phone(208) 359-6900

Sole ProprietorNo

Enumeration DateSeptember 25, 2020

NPPES CertifiedSeptember 18, 2020

✔ NPI 1396352142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in ID · 65959

450 E MAIN ST, Rexburg, ID 83440

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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)

Karissa Thueson Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83440 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

BRADLEY SAUNDERS OTR-L

Occupational Therapist