Individual provider Active NPI

Andrea Marie Thomas, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1629320791
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007644 Issued in KY
Practice address
1930 Bishop LN FL 12
Louisville, KY 40218
Phone
(502) 456-6200
Fax
(502) 456-6655
NPI assigned
Oct 12, 2012
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 3007644 KY Primary

Addresses

Primary practice location

1930 Bishop LN FL 12
Louisville, KY 40218

Mailing address

3532 Ephraim McDowell Dr
Louisville, KY 40205-3224
Phone (502) 456-6200

Other identifiers 2

IdentifierTypeStateIssuer
7100263770MedicaidKY
50062029OtherKYPASSPORT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20170327001296 KY Practitioner - Nurse Practitioner 0446535801 Reassigns benefits to 2 organizations
I20181205000100 IN Practitioner - Nurse Practitioner 0446535801 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

2051 Clevidence Blvd
Suite B
Clarksville, IN 47129-2278
Phone (812) 280-9145

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007644KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Guide Partners Inc CurrentSince Feb 8, 2017 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Hosparus Inc. CurrentSince May 28, 2019 Accepting new patients
Care Guide Partners Inc Family CurrentSince Feb 8, 2017 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 19, 2018 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 19, 2018 Accepting new patients
Care First Urgent Care LLC CurrentSince Sep 11, 2024 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

502 Hausfeldt Ln
New Albany, IN 47150
Phone (502) 456-6200

7820 S Voyles Rd
Pekin, IN 47165
Phone (812) 668-6316

1720 W Broadway
Louisville, KY 40203
Phone (502) 456-5451

1930 Bishop Ln
Fl 12
Louisville, KY 40218
Phone (502) 272-5220

3532 Ephraim McDowell Dr
Louisville, KY 40205
Phone (502) 456-6200

6200 Dutchmans Ln
Louisville, KY 40205
Phone (502) 456-6200

6200 Dutchmans Ln
Ste 200
Louisville, KY 40205
Phone (502) 456-6200

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: athomas72001@direct.nortonhealthcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1629320791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 EPHRAIM MCDOWELL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053224",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN FL 12",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40218",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100263770",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50062029",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.