Individual provider Active NPI

Keagan Thomas, DNP, FNP-BC

  • Nurse Practitioner
  • Alma, MI
National Provider Identifier
1346842242
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704318843 Issued in MI
Practice address
614 W Superior St
Alma, MI 48801-1504
Phone
(989) 463-7181
NPI assigned
Nov 15, 2020
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 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 4704318843 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

614 W Superior St
Alma, MI 48801-1504

Mailing address

614 W Superior St
Alma, MI 48801-1504
Phone (989) 463-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20211206002217 MI Practitioner - Nurse Practitioner 1850781824 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, shared by 9 NPIs, 128 clinicians

Practice addresses (Care Compare)

1105 E Cedar Ave
Gladwin, MI 48624-7003
Phone (989) 246-6490

3009 N Saginaw Rd
Mymichigan Urgent Care Midland
Midland, MI 48640-4555
Phone (989) 633-1350

321 E Warwick Dr
Alma, MI 48801-1013
Phone (989) 466-3332

815 N Clare Ave
Suite a
Harrison, MI 48625-8177
Phone (989) 539-4434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704318843MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare CurrentSince Jan 12, 2026 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Nov 28, 2021 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Nov 28, 2021 Accepting new patients
Mymichigan Medical Center Alma Nurse Practitioner CurrentSince Nov 28, 2021 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Nov 28, 2021 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Nov 28, 2021 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Nov 28, 2021 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Nov 28, 2021 Accepting new patients
Alma College Past Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

614 W Superior St
Alma, MI 48801
Phone (989) 463-7181

2980 Wilder Rd
Ste B
Bay City, MI 48706
Phone (989) 509-3333

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

1105 E Cedar Ave
Gladwin, MI 48624
Phone (989) 246-6201

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

815 N Clare Ave
Ste A
Harrison, MI 48625
Phone (989) 539-4434

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

640 Court St
West Branch, MI 48661
Phone (989) 343-3730

Interoperability endpoints

  • Direct secure messaging: kthomas118254@mymichiganhealth.midirect.net

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.

Hospital & facility affiliations 5

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": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1346842242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W SUPERIOR ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011504",
            "telephone_number": "989-463-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W SUPERIOR ST",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011504",
            "telephone_number": "989-463-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEAGAN",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704318843",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.