Jennifer Denise Thomas, CRNP
Individual provider Active NPI Gerontology Nurse Practitioner · Mobile, AL
NPI 1043748346 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1043748346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 1-123617 (AL)
- Practice address
- 6420 Hillcrest Park CT
Mobile, AL 36695-2688 - Phone
- (251) 520-8700
- Fax
- (251) 255-4251
- NPI assigned
- May 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Healthcare Connections NP LLC
Practice addresses (Care Compare)
6130 Southbend Dr N
Mobile, AL 36619-1719
Phone (251) 520-8700
6420 Hillcrest Park CT
Suite B
Mobile, AL 36695-2688
Phone (251) 520-8700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170718001825 | AL | Practitioner - Nurse Practitioner | 3173893583 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saad Healthcare Clinic LLC | Current | Accepting new patients | |
| Saad Enterprises, Inc. | Current | Accepting new patients | |
| Healthcare Connections NP, LLC | Current |
Accepting new patients |
Locations
1515 S University Blvd
Mobile, AL 36609
Phone (251) 287-8886
6420 Hillcrest Park Ct
#B
Mobile, AL 36695
Phone (251) 447-2953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1-123617 | AL | Yes |
Addresses
Primary practice location
6420 Hillcrest Park CT
Mobile, AL 36695-2688
Mailing address
6420 Hillcrest Park CT
Mobile, AL 36695-2688
Phone (251) 520-8700
Other names
- Jennifer Pernell Thomas
Other providers in Mobile, AL
- Erin Michele Thomas
- Forrester Thomas
- Jacqueline Francine Thomas
- Jennifer Carithers Thomas
- Jennifer D Thomas
- Jonathan Thomas
- Madison Thomas
- Melanie Johnson Thomas
- Melissa Gail Thomas
- Nelda Renee Thomas
All providers in Mobile, AL · Gerontology Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.