Jared Lee Thomas, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61287895 Issued in WA

Practice address

2925 Siskiyou Blvd
Medford, OR 97504-8179

Phone

(541) 773-1435

Fax

(541) 858-6828

NPI assigned

Mar 14, 2013

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.86 of 100Reported as group

Quality

61.97

Promoting interoperability

67

Improvement activities

40

Cost

71.75

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sound Pain Alliance

  dba Black Stone Health

  • Pain Medicine Physician
  • Bellingham, WA
  • NPI 1649776394
  Medicare reassignment Care Compare group NPD
• Sound Pain Alliance

  dba Black Stone Health

  • Pain Clinic/Center
  • Corvallis, OR
  • NPI 1437893286
  NPD
• Sound Pain Alliance

  dba Mt. Baker Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
  • NPI 1457695116
  NPD
• Pain Relief Institute, LLC

  • Interventional Pain Medicine Physician
  • Medford, OR
  • NPI 1629331293
  NPD (past)
• Rogue Valley Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Medford, OR
  • NPI 1336479021
  NPD (past)
• Sound Pain Alliance

  dba Mt Baker Pain Clinic

  • Pain Clinic/Center
  • Burlington, WA
  • NPI 1538405709
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1487995528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 BRIDGEPORT WAY SW",
            "address_2": "STE D",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993037",
            "telephone_number": "541-494-1111",
            "fax_number": "541-494-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048179",
            "telephone_number": "541-773-1435",
            "fax_number": "541-858-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JARED",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-14",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61287895",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201350038NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Marie Thibert
• David Keith Thielges, DC
• Third Coast Anesthesia
• Adria Felice Thomas, AGNP-C
• Dani J Thomas, DO
• Litty Thomas, MD
• Michael J Thomas, PHARMD
• Richard Thomas
• Robert Harold Thomas IV, MS
• Sarah G Thomas

• Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.

Verify at the official NPI Registry.