Individual provider Active NPI

Shelagh B. Thomas, FNP

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1477592517
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG0000314 Issued in DE
Practice address
1151 Walker Rd
Dover, DE 19904-6600
Phone
(302) 674-2380
Fax
(302) 674-1299
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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 LG0000314 DE Primary

Addresses

Primary practice location

1151 Walker Rd
Dover, DE 19904-6600

Mailing address

1151 Walker Rd
Dover, DE 19904-6600
Phone (302) 674-2380

Other identifiers 1

IdentifierTypeStateIssuer
1000015470MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081215000197 DE Practitioner - Nurse Practitioner 4385706001 Reassigns benefits to 2 organizations
I20171229000562 PA Practitioner - Nurse Practitioner 4385706001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Medical Services IncGroup PAC ID 5597743344, 31 clinicians

Practice addresses (Care Compare)

1001 Wallace St
Tucker Nursing Home
Philadelphia, PA 19123-2599
Phone (215) 235-1600

Merit-based Incentive Payment System (MIPS)

Final score
22.06 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG0000314DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Medical Services, Inc. CurrentSince Oct 1, 2008 Accepting new patients
The Mind and Body Consortium, LLC. CurrentSince Mar 28, 2012 Accepting new patients
Christiana Medical Group, PA Past Accepting new patients

Locations

1151 Walker Rd
Dover, DE 19904
Phone (302) 674-1397

156 S State St
Dover, DE 19901
Phone 30267423801218

118 Sandhill Dr
Ste 201
Middletown, DE 19709
Phone 3024499314108

231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664

160 Rock Hill Rd
Fl 1
Bala Cynwyd, PA 19004
Phone (610) 667-5460

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1477592517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046600",
            "telephone_number": "302-674-2380",
            "fax_number": "302-674-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046600",
            "telephone_number": "302-674-2380",
            "fax_number": "302-674-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHELAGH",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000015470",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.