Individual provider Active NPI

Mercy Thomas, FNP-C

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1730531716
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130781 Issued in TX
Practice address
4100 State Highway 121
Carrollton, TX 75010-1118
Phone
(972) 939-7062
NPI assigned
Jul 1, 2016
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95005021 CA
Family Nurse Practitioner 363LF0000X AP130781 TX Primary

Addresses

Primary practice location

4100 State Highway 121
Carrollton, TX 75010-1118

Mailing address

4100 State Highway 121
Carrollton, TX 75010-1118
Phone (972) 939-7062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20161212000826 CA Practitioner - Nurse Practitioner 0547540429 Reassigns benefits to 1 organization
I20200729003711 TX Practitioner - Nurse Practitioner 0547540429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

211 E 7TH St
Suite 620
Austin, TX 78701-3218
Phone (800) 997-6196

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Jan 2, 2017 Accepting new patients
Doctor on Demand Professionals P C CurrentSince Oct 8, 2023 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Jul 16, 2020 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Jul 16, 2020 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

987 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 570-4631

1350 Florin Rd
Sacramento, CA 95822
Phone (916) 392-5184

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

1900 19th Ave
San Francisco, CA 94116
Phone (415) 664-1834

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2455 San Ramon Valley Blvd
San Ramon, CA 94583
Phone (925) 820-7325

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

4100 State Highway 121
Carrollton, TX 75010
Phone (972) 339-2417

Interoperability endpoints

  • Direct secure messaging: mercy.thomas.1@30520.direct.athenahealth.com

Organizations & group practices 4

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1730531716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 STATE HIGHWAY 121",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101118",
            "telephone_number": "972-939-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 STATE HIGHWAY 121",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101118",
            "telephone_number": "972-939-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MERCY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.