Active NPI
Nicole Tayler Thomes, PA-C
- Medical Physician Assistant
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1542
- Practice address
- 6100 S Louise Ave
Sioux Falls, SD 57108-6029 - Phone
- (605) 504-1000
- Fax
- (605) 504-1401
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1542 | SD | Primary |
Addresses
Primary practice location
6100 S Louise Ave
Sioux Falls, SD 57108-6029
Mailing address
6100 S Louise Ave
Sioux Falls, SD 57108-6029
Phone (605) 504-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 E 23Rd St
Sioux Falls, SD 57105-2114
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
6100 S Louise Ave
Sioux Falls, SD 57108-6029
6300 S Louise Ave
Suite 200
Sioux Falls, SD 57108-6133
Phone (605) 504-1400
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Avera St Lukes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
6100 S Louise Ave
Ste 3100
Sioux Falls, SD 57108
Phone (605) 322-8630
6100 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 504-1000
1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625
Interoperability endpoints
- nicole.thomes@avera.sdhealthlink.net
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Gastroenterology Physician
- Sioux Falls, SD
- NPI 1194799882
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1376575514
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1447097969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 S LOUISE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571086029",
"telephone_number": "605-504-1000",
"fax_number": "605-504-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 S LOUISE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571086029",
"telephone_number": "605-504-1000",
"fax_number": "605-504-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMES",
"first_name": "NICOLE",
"middle_name": "TAYLER",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SD",
"license": "1542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.