Individual provider Active NPI

Tisha Ann Thomas, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1649763418
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342947-1 Issued in NY
Practice address
250 Bedford Park Blvd W
Bronx, NY 10468-1527
Phone
(718) 960-8000
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 F342947-1 NY Primary

Addresses

Primary practice location

250 Bedford Park Blvd W
Bronx, NY 10468-1527

Mailing address

472 Bronxville Rd
Bronxville, NY 10708-1115
Phone (914) 602-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181217001021 NY Practitioner - Nurse Practitioner 4183969389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

600 Mamaroneck Ave
Harrison, NY 10528-1635
Phone (914) 723-8100

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F342947-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince May 20, 2021 Accepting new patients
Scarsdale Medical Group LLP Past Accepting new patients

Locations

600 Mamaroneck Ave
Ste 200
Harrison, NY 10528
Phone 9147238100116

600 Mamaroneck Ave
Ste 101
Harrison, NY 10528
Phone (914) 686-0111

600 Mamaroneck Ave
Harrison, NY 10528
Phone (914) 628-6966

550 Mamaroneck Ave
Ste 302
Harrison, NY 10528
Phone 9147238100 ext. 239

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

259 Heathcote Rd
Scarsdale, NY 10583
Phone 9147238100106

222 Westchester Ave
Ste 101
White Plains, NY 10604
Phone 9149461010324

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1649763418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 BRONXVILLE RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107081115",
            "telephone_number": "914-602-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEDFORD PARK BLVD W",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681527",
            "telephone_number": "718-960-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TISHA",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342947-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.