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

Active since July 21, 2021PECOS Enrolled
115 N MAIN ST, SHENANDOAH, PA 17976(570) 671-0300(570) 671-0305 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Aug 5, 2025, Jul 21, 2021 (3 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 Shenandoah, Pennsylvania, licensed in Pennsylvania (SP032479) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Shenandoah, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689247207
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameYALIXSA THENCredential: FNP-BC
Location Address115 N MAIN STShenandoah, PA 17976-1756
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (570) 671-0300 · Fax (570) 671-0305
Phone(570) 671-0300
Fax(570) 671-0305
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 21, 2021
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 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
115 N MAIN ST, Shenandoah, PA 17976
Open in Google Maps ↗

Secondary Practice Location 1

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

Other Identifiers 1

OtherF347683NY · License #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yalixsa Then Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678965761
PECOS Enrollment IDI20250904003546
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 17976 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 2

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

PRIMARY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
115 N MAIN ST
SHENANDOAH, PA 17976
Schuylkill County (570) 671-0300
NICOLE MARIE MORRIS FNP-BC
Nurse Practitioner (Family)
115 N MAIN ST
SHENANDOAH, PA 17976
Schuylkill County (570) 671-0300

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 115 N Main St, Shenandoah, PA 17976. The listed phone number is (570) 671-0300.

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.

When was this NPI record last updated?

The NPPES record for Yalixsa Then was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.