Individual provider Active NPI

Felicia Thomas

  • Nurse Practitioner
  • Lake Wales, FL
National Provider Identifier
1104474758
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11003896 Issued in FL
Practice address
813 Lindsey PL
Lake Wales, FL 33853-3576
Phone
(873) 605-8509
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2025015939 MO
Nurse Practitioner 363L00000X APRN11003896 FL Primary
Nurse Practitioner 363L00000X 862238 NM

Addresses

Primary practice location

813 Lindsey PL
Lake Wales, FL 33853-3576

Mailing address

813 Lindsey PL
Lake Wales, FL 33853-3576
Phone (863) 348-0997

Other practice location 1

1200 McCutchen Rd
Rolla, MO 65401-2615
Phone (863) 348-0997

Other practice location 2

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Phone (863) 348-0997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200512000853 FL Practitioner - Nurse Practitioner 0446681258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

2350 Taft St
Gary, IN 46404-3349
Phone (877) 883-9430

3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone (561) 737-5600

3600 Old Boynton Rd
Boynton Beach, FL 33436-3912
Phone (561) 736-9992

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Apr 21, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Apr 21, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Apr 6, 2023 Accepting new patients
Kencare Clinic Nurse Practitioner PastSince Sep 1, 2019 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

Interoperability endpoints

  • Direct secure messaging: felicia.thomas@746395612545028.direct.elationemr.com

Organizations & group practices 8

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1104474758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 LINDSEY PL",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533576",
            "telephone_number": "863-348-0997",
            "fax_number": "863-474-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 LINDSEY PL",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533576",
            "telephone_number": "873-605-8509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 McCutchen Rd",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012615",
            "country_code": "US",
            "telephone_number": "863-348-0997",
            "fax_number": "863-474-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Marquette Ave NW Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025312",
            "country_code": "US",
            "telephone_number": "863-348-0997",
            "fax_number": "863-474-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025015939",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003896",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "862238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

Verify at the official NPI Registry.