Active NPI
Jennifa K Thomas, NP
- Nurse Practitioner
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28137882A
- Practice address
- 3500 Franciscan Way Ste 300
Michigan City, IN 46360-0033 - Phone
- (219) 879-6531
- Fax
- (219) 878-8331
- NPI assigned
- Jul 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28137882A | IN | Primary |
Addresses
Primary practice location
3500 Franciscan Way Ste 300
Michigan City, IN 46360-0033
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201090650 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jthomas82514@Direct.FranciscanAlliance.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 865-5904
1704 Lafayette Rd
Crawfordsville, IN 47933-1071
3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 879-8511
3500 N Franciscan Way
Suite 400
Michigan City, IN 46360-0021
Phone (219) 861-5539
425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28137882A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1040 Sierra Dr
Greenwood, IN 46143
Phone (317) 528-2759
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- jthomas82514@direct.franciscanalliance.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Physical Therapist
- Chesterton, IN
- NPI 1467608687
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1114282167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 FRANCISCAN WAY STE 300",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463600033",
"telephone_number": "219-879-6531",
"fax_number": "219-878-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JENNIFA",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28137882A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201090650",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jthomas82514@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3500 Franciscan Way Ste 300",
"city": "Michigan City",
"state": "IN",
"country_code": "US",
"postal_code": "463600021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Michigan City, IN
- The Foot and Ankle Clinics PC
- The Mindful Mind Therapeutic Counseling and Consultation Center LLC (Mindful Minds LLC)
- The Neuroclinic P C
- The People Movers L.L.C.
- The Sleep Center, LLC
- Lisa K Thomas, NP
- Rachel Leanne Thompson, OTR/L
- Sharmilee Thota, MD
- Thriving Force Therapy LLC
- Victoria Tiemens, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.