Active NPI
Adam Keith Thomas, CRNA
- Certified Registered Nurse Anesthetist
- Jasper, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28211491A
- Practice address
- 800 W 9TH St
Jasper, IN 47546-2514 - Phone
- (812) 996-2345
- NPI assigned
- Dec 6, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28211491A | IN | Primary |
Addresses
Primary practice location
800 W 9TH St
Jasper, IN 47546-2514
Mailing address
800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-2345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100154170 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131021000973 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4385825751 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 473-0181
Hospital & facility affiliations
- Ascension St Vincent Evansville
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.79 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Group Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia & Pain Specialists of Bowling Green PLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2438 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (727) 565-0740
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500
1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1194761262
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, Nurse Anesthetist, Certified Registered
-
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1275745002
-
- Rural Health Clinic/Center
- Montgomery, IN
- NPI 1336959279
-
- Anesthesiology Physician
- Bowling Green, KY
- NPI 1548253107
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
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": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1194028670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W 9TH ST",
"city": "JASPER",
"state": "IN",
"postal_code": "475462514",
"telephone_number": "812-996-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 9TH ST",
"city": "JASPER",
"state": "IN",
"postal_code": "475462514",
"telephone_number": "812-996-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ADAM",
"middle_name": "KEITH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-06",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28211491A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100154170",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.