Individual provider Active NPI

Kayla Jo Thomas, FNP-BC

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1063191880
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014198A Issued in IN
Practice address
2302 Chester Blvd Ste a
Richmond, IN 47374-1221
Phone
(765) 488-0345
Fax
(765) 488-2467
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014198A IN Primary

Addresses

Primary practice location

2302 Chester Blvd Ste a
Richmond, IN 47374-1221

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Other practice location 1

520 S 9th St Ste A
Richmond, IN 47374-6230
Phone (765) 935-5390

Other practice location 2

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207000889 IN Practitioner - Nurse Practitioner 8426407172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Cleanslate Medical Group of Indiana LLCGroup PAC ID 4880963909, 60 clinicians

Practice addresses (Care Compare)

1400 Highland Rd
Suite 1
Richmond, IN 47374-8810
Phone (765) 935-8905

2302 Chester Blvd
Suite a
Richmond, IN 47374-1221
Phone (833) 505-4673

Merit-based Incentive Payment System (MIPS)

Final score
99.3 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Indiana LLC D/B/a Rheumatology of Central Indiana CurrentSince Nov 15, 2023 Accepting new patients
Cleanslate Medical Group of Indiana LLC CurrentSince May 1, 2024 Accepting new patients
Cleanslate Medical Group of Pennsylvania LLC Past Accepting new patients

Locations

101 N Harrison St
Alexandria, IN 46001
Phone (765) 233-0903

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

4925 S Scatterfield Rd
#G
Anderson, IN 46013
Phone (765) 442-0402

203 W 1st St
Bloomington, IN 47403
Phone (812) 339-1675

1004 Parkway Ave
Ste E
Elkhart, IN 46516
Phone (574) 218-7131

4411 Washington Ave
Ste 105
Evansville, IN 47714
Phone (812) 213-0304

3005 E State Blvd
Fort Wayne, IN 46805
Phone (260) 267-9498

833 Indianapolis Rd
Ste E
Greencastle, IN 46135
Phone (765) 301-3680

65 Airport Pkwy
Ste 114
Greenwood, IN 46143
Phone (317) 807-0268

1725 N Meridian St
Indianapolis, IN 46202
Phone (317) 396-1676

9660 E Washington St
#300
Indianapolis, IN 46229
Phone (317) 860-5600

3728 S Reed Rd
Kokomo, IN 46902
Phone (765) 626-7110

30 Professional Ct
Ste 2
Lafayette, IN 47905
Phone (765) 838-1218

8601 Connecticut St
Merrillville, IN 46410
Phone (219) 525-3495

124 E Main St
Muncie, IN 47305
Phone (765) 587-7311

1107 S Tillotson Ave
Muncie, IN 47304

3620 W Bethel Ave
Muncie, IN 47304
Phone (317) 428-5027

18051 River Rd
Ste 101
Noblesville, IN 46062
Phone (317) 674-0062

2455 E Main St
#194
Plainfield, IN 46168
Phone (317) 268-7198

2302 Chester Blvd
Ste A
Richmond, IN 47374
Phone (765) 488-0345

2936 Frontage Rd
Warsaw, IN 46580
Phone (574) 306-2145

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1063191880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 CHESTER BLVD STE A",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741221",
            "telephone_number": "765-488-0345",
            "fax_number": "765-488-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S 9th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473746230",
            "country_code": "US",
            "telephone_number": "765-935-5390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KAYLA",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014198A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.