Nicole Marie Theuret, PMHNP-BC - Medicare Nurse Practitioner in Erie, PA

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Nicole Marie Theuret, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Erie, Pennsylvania. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Childrens Center For Treatment And Education and her current practice location is 3250 W Lake Rd, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 790-5678.

Nicole Marie Theuret is licensed to practice in Pennsylvania (license number SP023160) 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 1891387049.

Contact Information

Nicole Marie Theuret, PMHNP-BC
3250 W Lake Rd,
Erie, PA 16505-3691
(814) 790-5678
Not Available

Map and Direction




Provider's Profile

Full NameNicole Marie Theuret
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location3250 W Lake Rd, Erie, Pennsylvania
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:
  • Nicole Marie Theuret graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1891387049
  • Provider Enumeration Date: 02/09/2021
  • Last Update Date: 02/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830506534
  • Enrollment ID: I20210324003221

Medical Identifiers

Medical identifiers for Nicole Marie Theuret such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891387049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health SP023160 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Childrens Center For Treatment And Education48807500176

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. Nicole Marie Theuret allows following entities to bill medicare on her behalf.
Entity NameDeerfield Behavioral Health Of Warren, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134158314
PECOS PAC ID: 8325935661
Enrollment ID: O20040302000638
Entity NamePennsylvania Department Of Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790768471
PECOS PAC ID: 0547168064
Enrollment ID: O20041207000650
Entity NameChildrens Center For Treatment And Education
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366609646
PECOS PAC ID: 4880750017
Enrollment ID: O20090312000564
Entity NameCenter For Focused Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770070096
PECOS PAC ID: 8921354531
Enrollment ID: O20180711002516

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. Nicole Marie Theuret 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
Nicole Marie Theuret, PMHNP-BC
3250 W Lake Rd,
Erie, PA 16505-3691

Ph: (814) 790-4567		Nicole Marie Theuret, PMHNP-BC
3250 W Lake Rd,
Erie, PA 16505-3691

Ph: (814) 790-5678

Reviews and Comments


Nurse Practitioner Nurses in Erie, PA

Tatyana Kryachkov, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505
Phone: 814-790-4567    Fax: 814-295-4074
Devon Singh,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507
Phone: 814-456-8980    
Lynn Gates,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 State St, Erie, PA 16550
Phone: 814-877-4922    
Nicole Friedl,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 State St, Erie, PA 16550
Phone: 814-877-4922    
Linda Kathleen Mentz, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4500 Pine Ave, Erie, PA 16504
Phone: 814-877-5800    Fax: 814-877-5809
Mr. Kenneth Charles Agnew Jr., CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5037 Crystal Dr, Erie, PA 16505
Phone: 814-218-1850    
Ms. Lydia Jo Mcclure-maring, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 135 E 38th St, Erie, PA 16504
Phone: 814-868-8661    Fax: 814-860-2285

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.