THERESA DOUSE (CRNP) – Nurse Practitioner, NPI 1679846794
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for THERESA DOUSE (CRNP)
933 E HAVERFORD RD
BRYN MAWR, PA 190103819
Phone: (610) 520-5200
Fax: (610) 520-1998
Type: Mailing
PO BOX 829641
PHILADELPHIA, PA 191829641
Phone: (267) 370-5296
Fax: (215) 230-3725
Type: Mailing
595 W STATE STREET
DIABETES MANAGEMENT
DOYLESTOWN, PA 18901
Phone: (215) 345-2172
Fax: (215) 345-2525
Type: Location
51 N 39TH ST
PHILADELPHIA, PA 191042640
Phone: (215) 662-9990
Fax: (215) 243-3297
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $338.
Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($233).
Total Amount
$338
General + Research + Ownership
Payments
4
Total payment records
General Amount
$338
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $233 |
| SANOFI-AVENTIS U.S. LLC | $105 |
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: 2013-01-02
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 |
|---|---|---|---|---|
| I20130102000301 | I | Nurse Practitioner | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| N E U R O L O G Y | PA | |
| - | PA | |
| Family Practice | PA | |
| Registered Dietitian Or Nutrition Professional | PA | |
| P A T H O L O G Y | PA | |
| Nurse Practitioner | PA | |
| - | PA |
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