Individual provider Active NPI

Maura McDonnell Thomas, CRNP

  • Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1215562756
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R220625 Issued in MD
Practice address
4000 River Crescent Dr
Annapolis, MD 21401-7721
Phone
(410) 224-8108
Fax
(443) 481-1427
NPI assigned
Mar 5, 2020
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R220625 MD Primary
Family Nurse Practitioner 363LF0000X R220625 MD

Addresses

Primary practice location

4000 River Crescent Dr
Annapolis, MD 21401-7721

Mailing address

4000 River Crescent Dr
Annapolis, MD 21401-7721
Phone (410) 224-8108

Other practice location 1

2003 Medical Pkwy Ste 400
Annapolis, MD 21401-3088
Phone (410) 573-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200413003371 DC Practitioner - Nurse Practitioner 8628408747 Reassigns benefits to 1 organization
I20200413003516 MD Practitioner - Nurse Practitioner 8628408747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

4000 River Crescent Dr
Annapolis, MD 21401-7721
Phone (410) 224-8108

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R220625MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Annapolis Internal Medicine, LLC CurrentSince Aug 17, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 25, 2020 Accepting new patients
Titus C. Abraham, MD, LLC Past Accepting new patients

Locations

116 Defense Hwy
Ste 400
Annapolis, MD 21401
Phone (410) 897-9841

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2003 Medical Pkwy
Ste 400
Annapolis, MD 21401
Phone (410) 573-2530

4000 River Crescent Dr
Annapolis, MD 21401
Phone (410) 224-8108

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3805/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mthomas99131@direct.aahs.org

Organizations & group practices 7

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 3

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1215562756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 RIVER CRESCENT DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017721",
            "telephone_number": "410-224-8108",
            "fax_number": "443-481-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RIVER CRESCENT DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017721",
            "telephone_number": "410-224-8108",
            "fax_number": "443-481-1427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Medical Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013088",
            "country_code": "US",
            "telephone_number": "410-573-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MAURA",
        "middle_name": "MCDONNELL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R220625",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R220625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.