Nicole Theofanis, PA-C
NPI 1720467897 · Physician Assistant · Wormleysburg, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Theofanis, PA-C is a Physician Assistant provider in Wormleysburg, PA (NPI 1720467897).
Provider details
- NPI number
- 1720467897
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MA057597 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
76 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 76 | $103 |
Typical Medicare-allowed amounts for these services range $103–$103 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Spironolactone | 87 | 27 |
| Sacubitril/Valsartanbrand: Entresto | 87 | 23 |
| Metoprolol Succinate | 73 | 26 |
| Empagliflozinbrand: Jardiance | 71 | 19 |
| Bumetanide | 63 | 22 |
| Furosemide | 61 | 25 |
| Apixabanbrand: Eliquis |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-22
- Last updated
- 2019-06-26
Frequently asked questions
- What is Nicole Theofanis's NPI number?
- Nicole Theofanis's National Provider Identifier (NPI) is 1720467897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Theofanis's specialty?
- Nicole Theofanis is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Theofanis located?
- Nicole Theofanis's practice location on file with NPPES is 1000 N Front St, Wormleysburg, PA 17043-1021.
- What is Nicole Theofanis's phone number?
- The practice phone number listed in the NPPES registry for Nicole Theofanis is (717) 731-0101.
- Does Nicole Theofanis accept Medicare?
- Nicole Theofanis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Theofanis's NPI active?
- Yes — Nicole Theofanis's NPI (1720467897) is active in the NPPES registry as of the last update on 2019-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.