MS. HEATHER RENEE THORNSBERRY PMHNP
NPI 1942681630
Nurse Practitioner - Psychiatric/Mental Health in Southgate, MI

Q: What is Heather Thornsberry's NPI number?

The NPI number for Heather Thornsberry is 1942681630. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Heather Thornsberry's specialty?

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

Active since June 18, 2015PECOS Enrolled

14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(313) 274-3700 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 30, 2026, Sep 14, 2024, Apr 29, 2024 (3 updates tracked since 2024).

On this page

About Ms. Heather Renee Thornsberry Pmhnp NPPES

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

MS. HEATHER RENEE THORNSBERRY PMHNP (NPI 1942681630) is an individual psychiatric/mental health provider in Southgate, Michigan, licensed in Michigan (4704308209) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942681630

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. HEATHER RENEE THORNSBERRYCredential: PMHNP

Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507

Mailing Address14799 Dix Toledo RdSouthgate, MI 48195-2507

Phone(313) 274-3700

Sole ProprietorNo

Enumeration DateJune 18, 2015

Last NPPES UpdateMay 30, 20263 updates tracked since enumeration

NPPES CertifiedMay 30, 2026

✔ NPI 1942681630 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 MI · 4704308209

14799 DIX TOLEDO RD, Southgate, MI 48195

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Heather Renee Thornsberry Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 20

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

MS. CELESTE PATRICIA ALLEN SST

Social Worker