Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Jane Debord, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134772353

Theresa Jane Debord, PMHNP-BC is a Nurse Practitioner in Wentzville, Missouri. Qualified in 2019, 7 years ago. Practices with Vivent Health Inc, a 54-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

129 Brookshire Creek Dr
Wentzville, MO 63385-5593
Phone: (636) 200-7187
Fax: (314) 689-6474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2025011453 (MO)

Record details

NPI number1134772353
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJuly 17, 2019
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Vivent Health Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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