Individual provider Active NPI

Lonnie Thomas, NP

  • Adult Health Nurse Practitioner
  • Montezuma, NY
National Provider Identifier
1174041230
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308442 Issued in NY
Practice address
8097 High Street
Montezuma, NY 13117
Phone
(315) 776-4935
NPI assigned
Sep 8, 2017
Last updated
Sep 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308442 NY Primary

Addresses

Primary practice location

8097 High Street
Montezuma, NY 13117

Mailing address

8097 High St
Montezuma, NY 13117-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171120002825 NY Practitioner - Nurse Practitioner 2365709706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva General Hospital, IncGroup PAC ID 7810809407, 88 clinicians

Practice addresses (Care Compare)

196 N St
Geneva, NY 14456-1651
Phone (315) 787-4533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308442NYMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC CurrentSince Oct 30, 2017 Accepting new patients
FLH Medical, PC CurrentSince Oct 30, 2017 Accepting new patients
Geneva General Hospital, Inc CurrentSince Feb 1, 2018 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Geneva General Hospital CurrentSince Feb 1, 2018 Accepting new patients
Geneva General Hospital Inc. Past Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

196 North St
Geneva, NY 14456
Phone (315) 787-4156

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

Interoperability endpoints

  • Direct secure messaging: l.thomas@flhmedical.medentdirect.com

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1174041230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8097 HIGH ST",
            "city": "MONTEZUMA",
            "state": "NY",
            "postal_code": "131171715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8097 HIGH STREET",
            "city": "MONTEZUMA",
            "state": "NY",
            "postal_code": "13117",
            "telephone_number": "315-776-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LONNIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.