Individual provider Active NPI

Mary Michelle Cashman Thomas, MSN, APRN-BC, ACNP

  • Acute Care Nurse Practitioner
  • Murray, UT
National Provider Identifier
1740590769
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
336206-8900 Issued in UT
Practice address
5131 S Cottonwood St # L-2
Murray, UT 84107-5701
Phone
(801) 263-3416
Fax
(801) 263-3428
NPI assigned
Oct 8, 2010
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 336206-4405 UT
Acute Care Nurse Practitioner 363LA2100X 336206-8900 UT Primary

Addresses

Primary practice location

5131 S Cottonwood St # L-2
Murray, UT 84107-5701

Mailing address

5226 Frontier Dr
Suite B299
Morgan, UT 84050-9734
Phone (801) 892-0135

Other identifiers 1

IdentifierTypeStateIssuer
1740590769MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20101209000136 UT Practitioner - Nurse Practitioner 5092902635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Cancer Specialists PCGroup PAC ID 1355254749, 48 clinicians

Practice addresses (Care Compare)

5131 S Cottonwood St
2 Utah Cancer Specialists
Murray, UT 84107-5701
Phone (801) 263-3416

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
77.34
Promoting interoperability
90
Improvement activities
40
Cost
77.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
336206-8900UTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Cancer Specialists PC Nurse Practitioner CurrentSince Nov 16, 2019 Accepting new patients
Hospice for Utah Inc. PastSince Dec 6, 2012 Accepting new patients
Envision Home Health LLC PastSince Jan 4, 2017 Accepting new patients
Gut Whisperer PC PastSince Oct 1, 2008 Accepting new patients
Utah Cancer Specialists PC Nurse Practitioner PastSince Nov 30, 2025 Accepting new patients
Palliative Care for Utah LLC PastSince May 2, 2017 Accepting new patients

Locations

5131 S Cottonwood St
Ste L2
Murray, UT 84107
Phone (801) 263-3416

1121 E 3900 S
Ste C230
Salt Lake City, UT 84124

5131 S Cottonwood St
#L2
Salt Lake City, UT 84107
Phone (801) 263-3416

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

3592 W 9000 S
Ste 200
West Jordan, UT 84088
Phone (801) 562-8732

2965 W 3500 S
Ste L4
West Valley City, UT 84119

Organizations & group practices 6

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": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1740590769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 FRONTIER DR",
            "address_2": "SUITE B299",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509734",
            "telephone_number": "801-892-0135",
            "fax_number": "801-266-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 S COTTONWOOD ST # L-2",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075701",
            "telephone_number": "801-263-3416",
            "fax_number": "801-263-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASHMAN THOMAS",
        "first_name": "MARY",
        "middle_name": "MICHELLE",
        "credential": "MSN, APRN-BC, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "336206-4405",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "336206-8900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740590769",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.