Active NPI
Jill M Thomas, N.P.
- Nurse Practitioner
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704222283
- Practice address
- 580 W College Ave
Hospitalist Office
Marquette, MI 49855-2705 - Phone
- (906) 225-7433
- NPI assigned
- May 16, 2006
- 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 | 4704222283 | MI | Primary |
Addresses
Primary practice location
580 W College Ave
Hospitalist Office
Marquette, MI 49855-2705
Mailing address
49 Smith LN
Marquette, MI 49855-9352
Phone (906) 361-5210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5008706020 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 104854881 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3747
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704222283 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians - Michigan, PLLC | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Apogee Medical Group, Michigan, PC | Current | Accepting new patients |
Locations
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
580 W College Ave
Ofc
Marquette, MI 49855
Phone (906) 225-7433
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.
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
Nurse Practitioner
-
dba Sound Physicians
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UP Health System Bell
- Critical Access Hospital
- Ishpeming, MI
- NPI 1699101345
-
- Critical Access Hospital
- L'Anse, MI
- NPI 1558479824
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
dba OSF Healthcare St. Francis Hospital & Medical Group
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1124079710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 SMITH LN",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498559352",
"telephone_number": "906-361-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"address_2": "HOSPITALIST OFFICE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552705",
"telephone_number": "906-225-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JILL",
"middle_name": "M",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704222283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "5008706020",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104854881",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.