Individual provider Active NPI

Merlyn S Thomas

  • Family Nurse Practitioner
  • Lithia, FL
National Provider Identifier
1285173500
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9203131 Issued in FL
Practice address
13421 Fishhawk Blvd
Lithia, FL 33547-3833
Phone
(813) 844-8600
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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 APRN9203131 FL Primary

Addresses

Primary practice location

13421 Fishhawk Blvd
Lithia, FL 33547-3833

Mailing address

13421 Fishhawk Blvd
Lithia, FL 33547-3833
Phone (813) 844-8600

Other names 1

  • Merlyn Mathew Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mthomas13335@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180719001181 FL Practitioner - Nurse Practitioner 3072860295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

13421 Fishhawk Blvd
Lithia, FL 33547-3833
Phone (813) 844-8600

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9203131FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Aug 28, 2020 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
MCR Health, Inc. CurrentSince Aug 28, 2020 Accepting new patients
Tampa General Medical Group Inc CurrentSince Feb 15, 2021 Accepting new patients
Inova Physician Partners, LLC CurrentSince Sep 9, 2019 Accepting new patients
Tampa General Medical Group Inc CurrentSince Feb 15, 2021 Accepting new patients
Tampa General Hospital Current Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

1609 6th Ave E
Bradenton, FL 34208
Phone (413) 481-1689

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

13421 Fishhawk Blvd
Lithia, FL 33547
Phone (813) 844-8600

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mthomas13335@direct.tgh.org

Organizations & group practices 8

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 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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1285173500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 FISHHAWK BLVD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473833",
            "telephone_number": "813-844-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 FISHHAWK BLVD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473833",
            "telephone_number": "813-844-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MERLYN",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9203131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthomas13335@direct.tgh.org",
            "affiliation": "N",
            "address_1": "13421 Fishhawk Blvd",
            "city": "Lithia",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335473833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MERLYN",
            "last_name": "MATHEW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lithia, FL

Sources for this page

Verify at the official NPI Registry.