Individual provider Active NPI

Peggy Boyar Thomas, ACNP-BC

  • Acute Care Nurse Practitioner
  • Saint Helena, CA
National Provider Identifier
1619024882
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP14443 Issued in CA
Practice address
Adventist Health St Helena
10 Woodland Rd
Saint Helena, CA 94574
Phone
(707) 963-2002
Fax
(707) 963-2003
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP14443 CA Primary

Addresses

Primary practice location

Adventist Health St Helena
10 Woodland Rd
Saint Helena, CA 94574

Mailing address

PO Box 240
Rutherford, CA 94573-0240
Phone (707) 303-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051122000625 CA Practitioner - Nurse Practitioner 7517987308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP14443CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Helena Hospital CurrentSince May 1, 2021 Accepting new patients
St. Helena Hospital CurrentSince May 1, 2021 Accepting new patients
Adventist Health Clearlake Hospital Inc. Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

999 Adams St
Ste 106
Saint Helena, CA 94574
Phone (707) 963-4997

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1619024882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "RUTHERFORD",
            "state": "CA",
            "postal_code": "945730240",
            "telephone_number": "707-303-5315",
            "fax_number": "707-963-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADVENTIST HEALTH ST HELENA",
            "address_2": "10 WOODLAND RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "94574",
            "telephone_number": "707-963-2002",
            "fax_number": "707-963-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PEGGY",
        "middle_name": "BOYAR",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP14443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.