Individual provider Active NPI

Gary Thomas, NP

  • Nurse Practitioner
  • Pasco, WA
National Provider Identifier
1730839499
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61278332 Issued in WA
Practice address
520 N 4TH Ave
Pasco, WA 99301-5257
Phone
(509) 547-7704
NPI assigned
Mar 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP61278332 WA
Nurse Practitioner 363L00000X AP61278332 WA Primary

Addresses

Primary practice location

520 N 4TH Ave
Pasco, WA 99301-5257

Mailing address

6528 W Baron Dr
Boise, ID 83714-6134
Phone (971) 570-0683

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220512001031 WA Practitioner - Nurse Practitioner 1355728338 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61278332WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Lourdes Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Lourdes Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Northwest Physician Associates PC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Northwest Emergency Physicians LLC CurrentSince May 25, 2024 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 16, 2024 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 16, 2024 Accepting new patients
Lourdes Hospital LLC Current Accepting new patients
Lourdes Hospital LLC Past Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

Organizations & group practices 9

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1730839499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 W BARON DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146134",
            "telephone_number": "971-570-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-547-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP61278332",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61278332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.