Individual provider Active NPI

Karan L Thomas, FNP

  • Nurse Practitioner
  • Three Rivers, MI
National Provider Identifier
1205870029
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704160058 Issued in MI
Practice address
701 S Health Pkwy
Three Rivers, MI 49093-8352
Phone
(269) 278-1145
NPI assigned
Jun 15, 2006
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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 4704160058 MI Primary
Family Nurse Practitioner 363LF0000X 71000932 IN
Emergency Medicine Physician 207P00000X 4704160058 MI

Addresses

Primary practice location

701 S Health Pkwy
Three Rivers, MI 49093-8352

Mailing address

701 S Health Pkwy
Medical Staff Office
Three Rivers, MI 49093-8352
Phone (269) 278-1145

Other identifiers 2

IdentifierTypeStateIssuer
1205870029MedicaidMI
200284930MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040825000692 IN Practitioner - Nurse Practitioner 6709850647 Reassigns benefits to 2 organizations
I20090313000335 MI Practitioner - Nurse Practitioner 6709850647 Reassigns benefits to 2 organizations
I20240221003779 IL Practitioner - Nurse Practitioner 6709850647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Illinois Urgent Care Professionals PLLCGroup PAC ID 9830437946, 36 clinicians

Practice addresses (Care Compare)

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

3019 N National Rd
Columbus, IN 47203
Phone (708) 922-0911

505 W Cleveland Rd
Mishawaka, IN 46545-1003
Phone (574) 235-3135

600 W N Ave
Melrose Park, IL 60160-1671
Phone (708) 922-0911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704160058MIMDEmergency Medicine Physician
71000932INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 19, 2024 Accepting new patients
Illinois Urgent Care Professionals PLLC CurrentSince Jan 8, 2026 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jan 22, 2024 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Jan 22, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Pic Indiana PC CurrentSince Nov 18, 2019 Accepting new patients
Saint Joseph Community Hospital of Mishawaka Past Accepting new patients
Mohci Urgent Care LLC Past Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. Past Accepting new patients

Locations

350 N Bradley Blvd
Bradley, IL 60915
Phone (815) 348-9320

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

800 W Fulton Market
Fl 12
Chicago, IL 60607

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

7425 Barrington Rd
Hanover Park, IL 60133
Phone (630) 823-0392

7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101

600 W North Ave
Melrose Park, IL 60160
Phone (708) 316-2058

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 713-2717

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (815) 654-2300

2524 N Illinois St
Swansea, IL 62226
Phone (618) 235-0605

2015 Sheridan Rd
Zion, IL 60099
Phone (224) 447-0370

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617

900 Johnson St
#A
Elkhart, IN 46514

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1245 E Ireland Rd
#B
South Bend, IN 46614
Phone (574) 312-7022

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1205870029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S HEALTH PKWY",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-278-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-278-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KARAN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704160058",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000932",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4704160058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205870029",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200284930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

Verify at the official NPI Registry.