Individual provider Active NPI

Mickey D Thomas, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1225381908
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
555867 Issued in TX
Practice address
1701 N Loop 250 W
Midland, TX 79707-6002
Phone
(432) 522-5033
NPI assigned
Oct 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 555867 TX Primary

Addresses

Primary practice location

1701 N Loop 250 W
Midland, TX 79707-6002

Mailing address

1701 N Loop 250 W
Midland, TX 79707-6002
Phone (432) 522-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130205000395 TX Practitioner - Nurse Practitioner 4688828387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scotty Ortega MD LLPGroup PAC ID 2567742943, 12 clinicians

Practice addresses (Care Compare)

1701 N Loop 250
Midland, TX 79707-6002
Phone (432) 522-5033

3001 N Faudree Rd
Odessa, TX 79765-8875
Phone (432) 332-1386

Hospital & facility affiliations

  • St Josephs Home Health Inc Home health agency, Midland, TX, CCN 453104
  • Angels Care Home Health Home health agency, Midland, TX, CCN 677864
  • Midland Health at Home Home health agency, Midland, TX, CCN 743175
  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scotty Ortega MD LLP CurrentSince Mar 6, 2024 Accepting new patients
Suresh N Gadasalli M D P a Past Accepting new patients

Locations

1701 N Loop 250 W
Midland, TX 79707
Phone (432) 522-5033

3001 N Faudree Rd
Odessa, TX 79765
Phone (432) 332-1386

2487 E 11th St
Odessa, TX 79761
Phone (432) 332-1386

Organizations & group practices 2

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.

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1225381908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N LOOP 250 W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076002",
            "telephone_number": "432-522-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N LOOP 250 W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076002",
            "telephone_number": "432-522-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICKEY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "555867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.