THERESE LYNN DEFABIS (APRN, ANP-BC) – Adult Health Nurse Practitioner, NPI 1538250618
Adult Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for THERESE LYNN DEFABIS (APRN, ANP-BC)
PO BOX 211699
EAGAN, MN 551213699
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Mailing
1310 S Lebanon St
Lebanon, IN 460522792
Phone: (765) 482-7005
Fax: (765) 483-3021
Type: Location
1310 S LEBANON ST
LEBANON, IN 460522792
Phone: (765) 482-7005
Fax: (765) 483-3021
Type: Mailing
504, West Camp Street, Northfield Village, Lebanon, Boone County, Indiana, 46052, United States
LEBANON, IN 460521647
Phone: (765) 482-7005
Fax: (765) 483-3021
Type: Mailing
155 E MARKET ST
INDIANAPOLIS, IN 462043294
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $555.
Total Amount is formed as General ($555) + Research ($0) + Ownership ($0) = $555.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($182).
Total Amount
$555
General + Research + Ownership
Payments
26
Total payment records
General Amount
$555
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $182 |
| Exact Sciences Corporation | $157 |
| PFIZER INC. | $75 |
| Dexcom, Inc. | $56 |
| Abbott Laboratories | $55 |
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: 2007-04-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070402000654 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 562 | 159 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 376 | 148 | $0 |
| G0008 | Administration of influenza virus vaccine | 65 | 65 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 52 | 52 | $0 |
| 81003 | Automated urinalysis test | 50 | 35 | $0 |
Insurance plans in this area (ZIP 55121)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IN | 90670 | Pneumococcal vaccine for injection into muscle | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | KY | |
| H E M A T O L O G Y/ O N C O L O G Y | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| N E U R O L O G Y | IN |
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