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

Active since January 02, 2024PECOS EnrolledAccepts Medicare Assignment
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: August 02, 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, maintains a secondary practice location in Port Saint Lucie, and is a graduate of Other (2023).

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
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
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

Secondary Practice Location 1

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

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 and accepts Medicare assignment

Thaysha Dutes Rn 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 ID4183145402
PECOS Enrollment IDI20250303003343
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thaysha Dutes accept?

Health plans from 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 15 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.