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THAYSHA DUTES RN
NPI 1629848676
Nurse Practitioner in Port St Lucie, FL

Active since January 02, 2024PECOS Enrolled
808 SW GLENVIEW CT STE 812&814, PORT ST LUCIE, FL 34953(772) 240-7822 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thaysha Dutes Rn NPPES

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

THAYSHA DUTES RN (NPI 1629848676) is an individual nurse practitioner in Port St Lucie, Florida, licensed in Florida (APRN11030556) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Port Saint Lucie.

NPPES Registry Identity

NPI1629848676
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHAYSHA DUTESCredential: RN
Location Address808 SW GLENVIEW CT STE 812&814Port St Lucie, FL 34953-2684
Mailing Address720 Ne Galilean StPort Saint Lucie, FL 34983-1211 · (754) 234-2836
Phone(772) 240-7822
Sole ProprietorYes
Enumeration DateJanuary 2, 2024
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1629848676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11030556
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 9441214 (FL)
808 SW GLENVIEW CT STE 812&814, Port St Lucie, FL 34953
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Secondary Practice Location 1

Location 1720 NE Galilean StPort Saint Lucie, FL 34983-1211 · Phone (754) 234-2836

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thaysha Dutes Rn 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.

Medicare Billing Reassignments

2

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

Florida Heart Center, PA
12 mi
Cardiovascular Disease
1900 NEBRASKA AVE, SUITE 9
Fort Pierce, FL 34950
  • Reassigned Medicare billing, Florida enrollment
  • 19 clinicians in this Medicare group
NPI 1760440440 (772) 465-4757
Cardiology Partners Pl
46 mi
Cardiovascular Disease
3347 STATE ROAD 7, STE 203
Wellington, FL 33449
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
NPI 1518978626 (561) 793-6100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34953 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Thaysha Dutes's NPI number?

The NPI number for Thaysha Dutes is 1629848676. It was assigned to this individual provider in the NPPES registry on January 2, 2024.

Where is Thaysha Dutes located?

Thaysha Dutes practices at 808 SW Glenview Ct Ste 812&814, Port St Lucie, FL 34953. The listed phone number is (772) 240-7822.

What is Thaysha Dutes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Thaysha Dutes enrolled in Medicare?

Yes. Thaysha Dutes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thaysha Dutes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thaysha Dutes reassigns Medicare benefits to 2 organizations: Florida Heart Center, PA (Fort Pierce, FL) and Cardiology Partners Pl (Wellington, FL). 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 Thaysha Dutes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thaysha Dutes accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Thaysha Dutes 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 Thaysha Dutes was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.