Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

YALIXSA THEN FNP-BC
NPI 1689247207
Nurse Practitioner - Family in Hazleton, PA

Active since July 21, 2021PECOS Enrolled
141 N VINE ST, HAZLETON, PA 18201(570) 454-0500 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Apr 14, 2026, Aug 5, 2025 and 1 more (4 updates tracked since 2021).

About Yalixsa Then Fnp-bc NPPES

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

YALIXSA THEN FNP-BC (NPI 1689247207) is an individual family provider in Hazleton, Pennsylvania, licensed in Pennsylvania (SP032479) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689247207
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYALIXSA THENCredential: FNP-BC
Location Address141 N VINE STHazleton, PA 18201-5852
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (570) 671-0300 · Fax (570) 671-0305
Sole ProprietorNo
Enumeration DateJuly 21, 2021
Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1689247207 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
Licenses✔ Licensed in PA · SP032479✔ Licensed in NY · F347683
141 N VINE ST, Hazleton, PA 18201

Secondary Practice Locations 2

Location 1624 W Centre StShenandoah, PA 17976-1403 · Phone (570) 671-0300 · Fax (570) 671-0305
Location 2115 N Main StShenandoah, PA 17976-1756 · Phone (570) 671-0300 · Fax (570) 671-0305

Other Identifiers 1

OtherF347683NY · License #

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yalixsa Then Fnp-bc 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 Yalixsa Then reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4046 74TH ST
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
620 HOWARD AVE
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 164 clinicians in this Medicare group

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 18201 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 8

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

Dietitian, Registered
141 N VINE ST
HAZLETON, PA 18201
Dietitian, Registered
141 N VINE ST
HAZLETON, PA 18201
Internal Medicine (Cardiovascular Disease)
141 N VINE ST
HAZLETON, PA 18201
Family Medicine
141 N VINE ST
HAZLETON, PA 18201
Nurse Practitioner (Family)
141 N VINE ST
HAZLETON, PA 18201
Family Medicine
141 N VINE ST
HAZLETON, PA 18201
Internal Medicine (Cardiovascular Disease)
141 N VINE ST
HAZLETON, PA 18201
Internal Medicine (Cardiovascular Disease)
141 N VINE ST
HAZLETON, PA 18201

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 Yalixsa Then's NPI number?

The NPI number for Yalixsa Then is 1689247207. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Yalixsa Then located?

Yalixsa Then practices at 141 N Vine St, Hazleton, PA 18201. The listed phone number is (570) 454-0500.

What is Yalixsa Then's specialty?

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

Is Yalixsa Then enrolled in Medicare?

Yes. Yalixsa Then is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Yalixsa Then's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yalixsa Then reassigns Medicare benefits to 2 organizations: Queens Medical Office, P.C. (Elmhurst, NY) and Primary Health Network (Altoona, PA). 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 Yalixsa Then's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yalixsa Then accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Yalixsa Then 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 Yalixsa Then was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.