Mrs Theresa Anderson, NP - Medicare Nurse Practitioner in Van Nuys, CA

Mrs Theresa Anderson, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Van Nuys, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Open Door Community Health Centers and her current practice location is 13755 Victory Blvd, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at (818) 988-9825.

Mrs Theresa Anderson is licensed to practice in California (license number NP95002121) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295101483.

Contact Information

Mrs Theresa Anderson, NP
13755 Victory Blvd,
Van Nuys, CA 91401-2348
(818) 988-9825
(818) 988-9305

Map and Direction




Provider's Profile

Full NameMrs Theresa Anderson
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location13755 Victory Blvd, Van Nuys, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Theresa Anderson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1295101483
  • Provider Enumeration Date: 08/11/2015
  • Last Update Date: 08/11/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5890032320
  • Enrollment ID: I20190122003517

Medical Identifiers

Medical identifiers for Mrs Theresa Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295101483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health NP95002121 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mad River Community HospitalArcata, CAHospital
St Joseph HospitalEureka, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Open Door Community Health Centers943606748586

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Theresa Anderson allows following entities to bill medicare on her behalf.
Entity NameOpen Door Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497840656
PECOS PAC ID: 9436067485
Enrollment ID: O20040414000890
Entity NameAngel Wings Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366942666
PECOS PAC ID: 6901168681
Enrollment ID: O20180315002330

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Theresa Anderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Theresa Anderson, NP
13755 Victory Blvd,
Van Nuys, CA 91401-2348

Ph: (818) 988-9825
Mrs Theresa Anderson, NP
13755 Victory Blvd,
Van Nuys, CA 91401-2348

Ph: (818) 988-9825

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.