MRS. THERESA ANDERSON (N.P.) – Adult Health Nurse Practitioner, NPI 1295101483

MRS. THERESA ANDERSON (N.P.) is a healthcare provider. based in Van nuys, California. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. NP95002121 (CA). The NPI Number for MRS. THERESA ANDERSON (N.P.) is 1295101483

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. THERESA ANDERSON (N.P.)
NPI
1295101483
Phone
(818) 988-9825
Address
13755 VICTORY BLVD
Enumeration Date
11 August 2015
Last Update Date
11 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7077864028
Graduation Year
2017 (9 years ago)
PAC ID
5890032320
Group Practice PAC ID
9436067485
Professional Enrollment ID
I20190122003517
Address ID
CA955361157FE638XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MRS. THERESA ANDERSON (N.P.)

  • 13755 VICTORY BLVD

    VAN NUYS, CA 914012348

    Phone: (818) 988-9825

    Fax: (818) 988-9305

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190122003517INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level5535$0
81015Urinalysis using microscope3015$0
View full utilization report →

Insurance plans in this area (ZIP 91401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436067485View full group profile

Reviews

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Frequently asked questions

What is the registry number for MRS. THERESA ANDERSON (N.P.)?
The registry entry for MRS. THERESA ANDERSON (N.P.) shows NPI 1295101483.
Quick check: is MRS. THERESA ANDERSON (N.P.) active?
Public NPPES data shows MRS. THERESA ANDERSON (N.P.) with an active NPI status right now.
How should patients interpret MRS. THERESA ANDERSON (N.P.)'s specialty?
The extract shows Adult Health Nurse Practitioner for MRS. THERESA ANDERSON (N.P.). Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. THERESA ANDERSON (N.P.)?
MRS. THERESA ANDERSON (N.P.) shows a connection to Van Nuys, California in registry-derived data.
Can I export MRS. THERESA ANDERSON (N.P.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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