Individual ProviderRenee TheisenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address900 23rd St NW, Washington, DC 20037-2342(202) 715-4000(703) 586-3484PECOS EnrollmentBased on the most recent information from CMS, provider Renee Theisen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1750534152Provider TypeIndividualFull NameTheisen, ReneeCredentialFNPGenderFemaleSole ProprietorYesEnumeration Date10/29/2008Last Updated12/21/2022Contact InformationPractice LocationPractice Address900 23rd St NW, Washington, DC 20037-2342Phone(202) 715-4000Fax(202) 715-4015Mailing LocationMailing Address3551 39th St NW, Apt 516f, Washington, DC 20016-3074Phone(703) 586-3484FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN1002854District of ColumbiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024167985Virginia