THEA STIDHAM FNP
NPI 1568926335
Nurse Practitioner - Family in Flower Mound, TX

Active since January 25, 2019PECOS EnrolledAccepts Medicare Assignment
4630 LONG PRAIRIE RD STE 210, FLOWER MOUND, TX 75028(469) 495-9112 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, May 9, 2023, Jan 25, 2019 (3 updates tracked since 2019).

About Thea Stidham Fnp NPPES

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

THEA STIDHAM FNP (NPI 1568926335) is an individual family provider in Flower Mound, Texas, licensed in Texas (AP139298) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1568926335
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHEA STIDHAMCredential: FNP
Location Address4630 LONG PRAIRIE RD STE 210Flower Mound, TX 75028-1964
Mailing Address2122 Rufe Snow Dr Ste 132Keller, TX 76248-5691 · (817) 576-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 25, 2019
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1568926335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP139298
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP139298 (TX)
4630 LONG PRAIRIE RD STE 210, Flower Mound, TX 75028

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

Thea Stidham Fnp 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 ID4385984285
PECOS Enrollment IDI20190312002415
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
135 services118 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
75 services75 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
32 services32 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
25 services25 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
21 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 6

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

Clinic/Center (Urgent Care)
4630 LONG PRAIRIE RD STE 210
FLOWER MOUND, TX 75028
Nurse Practitioner (Family)
4630 LONG PRAIRIE RD STE 210
FLOWER MOUND, TX 75028
Physician Assistant
4630 LONG PRAIRIE RD STE 210
FLOWER MOUND, TX 75028
Nurse Practitioner (Family)
4630 LONG PRAIRIE RD STE 210
FLOWER MOUND, TX 75028
Nurse Practitioner (Family)
4630 LONG PRAIRIE RD STE 210
FLOWER MOUND, TX 75028
Nurse Practitioner (Family)
4630 LONG PRAIRIE RD STE 210
FLOWER MOUND, TX 75028

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 Thea Stidham's NPI number?

The NPI number for Thea Stidham is 1568926335. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Where is Thea Stidham located?

Thea Stidham practices at 4630 Long Prairie Rd Ste 210, Flower Mound, TX 75028. The listed phone number is (469) 495-9112.

What is Thea Stidham's specialty?

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

Is Thea Stidham enrolled in Medicare?

Yes. Thea Stidham 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.

When was this NPI record last updated?

The NPPES record for Thea Stidham was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.