Nicole Brianne Theofanis, PA-C
Physician Assistant · Wormleysburg, PA
Nicole Brianne Theofanis, PA-C is a physician assistant with a practice address in Wormleysburg, Pennsylvania, and NPI 1720467897, issued on May 22, 2015. Check the license (Pennsylvania MA057597, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicole Brianne Theofanis
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- MA057597 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1000 N Front St, Wormleysburg, PA 17043
- Phone
- (717) 731-0101
- Enumerated
- May 22, 2015
- Record last updated
- Jun 26, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (717) 731-8359
- Medicaid ID
- 103153338 PA
- Medicare enrollment
- Enrolled (PECOS I20150625000402); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 8,020 in Pennsylvania → Look up another NPI →
Also registered at 1000 N Front St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Todd Bokelman, M.D.Cardiovascular Disease Physician1881695724
- Agnes ChangRegistered Nurse1871682369
Verify Nicole Brianne Theofanis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MA057597Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
10% fewer Medicare Part D claims than the average physician assistant in 2024
747 Medicare Part D claims for 146 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 30% of claims.
Most prescribed
- Entresto87 claims
- Spironolactone87 claims
- Metoprolol Succinate73 claims
- Jardiance71 claims
- Bumetanide63 claims
- Furosemide61 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Pinnacle Health Cardiovascular Institute IncHarrisburg, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicole Brianne Theofanis among 8,020 physician assistant records in Pennsylvania
Nicole Brianne Theofanis, PA-C is one of 8,020 physician assistant records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 41% of them.
- NPI issued2015 · 41% of these records are older, 56% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2015 · median 2018 among the 5,313 with a school on file
- Record last updated2019 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 physician assistant records list a practice address in Wormleysburg
They are 2 of the 198 NPPES records with a practice address in Wormleysburg, and 8,020 physician assistant records in Pennsylvania.
All 8,020 in Pennsylvania → Every provider in Wormleysburg → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Keila BarbourLemoyne, PA 170431366917155
- John Chukwudifu, PA-CLemoyne, PA 170431033628235
- Todd Eckroth, PALemoyne, PA 170431629026372
- Meghan Freed, PACLemoyne, PA 170431386308906
- Sung Han, PA-CLemoyne, PA 170431457855611
- Nicholas Ranieli, PA-CWormleysburg, PA 170431518436831
- Betsy Saunders, PA-CLemoyne, PA 170431134292352
- Taylor Smoluk, PA-CLemoyne, PA 170431841786761
Common questions
What is Nicole Brianne Theofanis, PA-C's NPI number?
Nicole Brianne Theofanis, PA-C's National Provider Identifier (NPI) is 1720467897, issued on May 22, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Brianne Theofanis, PA-C located?
The NPPES record lists a practice address at 1000 N Front St, Wormleysburg, PA, 17043. Phone: (717) 731-0101. Providers update this record themselves, so call before visiting.
How can I verify Nicole Brianne Theofanis, PA-C's license?
NPPES lists Pennsylvania license number MA057597, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
How much does Nicole Brianne Theofanis, PA-C prescribe under Medicare Part D?
In 2024, Nicole Brianne Theofanis, PA-C had 747 Medicare Part D claims for 146 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Nicole Brianne Theofanis, PA-C's MIPS final score?
The 2023 MIPS final score is 79 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.