Individual provider Active NPI

Nancy A. Thomas, CRNP

  • Adult Health Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1457599367
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13099NP Issued in OH
Practice address
602 Parmalee Ave
Suite 400
Youngstown, OH 44510-1653
Phone
(330) 747-8611
Fax
(330) 747-8027
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP008427 PA
Adult Health Nurse Practitioner 363LA2200X 13099NP OH Primary

Addresses

Primary practice location

602 Parmalee Ave
Suite 400
Youngstown, OH 44510-1653

Mailing address

602 Parmalee Ave
Suite 400
Youngstown, OH 44510-1653
Phone (330) 747-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120215000460 OH Practitioner - Nurse Practitioner 9537327903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

7629 Market St
Youngstown, OH 44512-6051

Hospital & facility affiliations

  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13099NPOHMDAdult Health Nurse Practitioner
SP008427PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Jul 20, 2020 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

315 Struthers Liberty Rd
Ste 1
Campbell, OH 44405
Phone (330) 750-1333

225 E State Route 14
Ste 201
Columbiana, OH 44408
Phone (234) 287-6533

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

7629 Market St
Ste 100
Youngstown, OH 44512
Phone (330) 792-0583

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7067 Tiffany Blvd
Ste 250
Youngstown, OH 44514
Phone (330) 726-4500

602 Parmalee Ave
Ste 400
Youngstown, OH 44510
Phone (330) 747-8611

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 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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1457599367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 PARMALEE AVE",
            "address_2": "SUITE 400",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101653",
            "telephone_number": "330-747-8611",
            "fax_number": "330-747-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 PARMALEE AVE",
            "address_2": "SUITE 400",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101653",
            "telephone_number": "330-747-8611",
            "fax_number": "330-747-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NANCY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP008427",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "13099NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.