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THERESA THOMAS DNP, APRN, PMHNP-BC
NPI 1770218646
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since July 23, 2022PECOS EnrolledAccepts Medicare Assignment
234 E GRAY ST STE 154, LOUISVILLE, KY 40202(502) 899-2673 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theresa Thomas Dnp, Aprn, Pmhnp-bc NPPES

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

THERESA THOMAS DNP, APRN, PMHNP-BC (NPI 1770218646) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (4012348) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770218646
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTHERESA THOMASCredential: DNP, APRN, PMHNP-BC
Location Address234 E GRAY ST STE 154Louisville, KY 40202-1903
Mailing AddressPo Box 776347Chicago, IL 60677-6347 · (502) 588-9490
Phone(502) 899-2673
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 23, 2022
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1770218646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4012348
234 E GRAY ST STE 154, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Thomas Dnp, Aprn, Pmhnp-bc 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 ID244683993
PECOS Enrollment IDI20240129003776, I20250206000485
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

6

Medicare enrollment records show Theresa Thomas reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Norton Hospitals Inc
Same address
Multi-Specialty
676 S FLOYD ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 187 clinicians in this Medicare group
NPI 1073568879 (502) 629-3114
Indiana United Psych LLC
117 mi
Psychiatry
8240 NAAB RD STE 360
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 71 clinicians in this Medicare group
NPI 1558237693 (201) 706-1143
Psychplus Associates Of Michigan, PLLC
311 mi
Psychiatry
290 TOWN CENTER DR STE 141
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 86 clinicians in this Medicare group
NPI 1053172866 (832) 869-4818
Psychplus Medical Associates Of Michigan, PLLC
311 mi
Internal Medicine
290 TOWN CENTER DR STE 141
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 86 clinicians in this Medicare group
NPI 1851144877 (832) 869-4818
Psychiatry Of Texas PLLC
800 mi
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 99 clinicians in this Medicare group
NPI 1013476027 (832) 869-4818
Psychplus Medical Associates, PLLC
800 mi
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 99 clinicians in this Medicare group
NPI 1558118026 (832) 869-4818

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 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 5

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

PATRICIA AMBER ESTES APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
234 E GRAY ST STE 154
LOUISVILLE, KY 40202
Jefferson County (502) 629-2500
SARAH ELIZABETH CAMPBELL
Nurse Practitioner (Psychiatric/Mental Health)
234 E GRAY ST STE 154
LOUISVILLE, KY 40202
Jefferson County (502) 899-2673
MRS. KLARISA NICOLE STOUDEMIRE ARNP
Nurse Practitioner (Family)
234 E GRAY ST STE 154
LOUISVILLE, KY 40202
Jefferson County (502) 629-2500
HANNA BROWN APRN
Nurse Practitioner (Family)
234 E GRAY ST STE 154
LOUISVILLE, KY 40202
Jefferson County (502) 629-2500
MS. KATHARINE E ADELSTEIN ANP-BC
Nurse Practitioner (Psychiatric/Mental Health)
234 E GRAY ST STE 154
LOUISVILLE, KY 40202
Jefferson County (502) 899-2673

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 Theresa Thomas's NPI number?

The NPI number for Theresa Thomas is 1770218646. It was assigned to this individual provider in the NPPES registry on July 23, 2022.

Where is Theresa Thomas located?

Theresa Thomas practices at 234 E Gray St Ste 154, Louisville, KY 40202. The listed phone number is (502) 899-2673.

What is Theresa Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Theresa Thomas enrolled in Medicare?

Yes. Theresa Thomas 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.

Which organizations bill Medicare for Theresa Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Thomas reassigns Medicare benefits to 6 organizations: Norton Hospitals Inc (Louisville, KY), Indiana United Psych LLC (Indianapolis, IN), Psychplus Associates Of Michigan, PLLC (Dearborn, MI), Psychplus Medical Associates Of Michigan, PLLC (Dearborn, MI), Psychiatry Of Texas PLLC (Houston, TX) and 1 more organization, listed in the Medicare section above. 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 Theresa Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Thomas accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and Priority Health list Theresa Thomas 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 Theresa Thomas was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.