Active NPI
Shona Elsa Thomas, MSN, FNP-BC
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3997898
- Practice address
- 2415 S Michigan Ave
Chicago, IL 60616-2301 - Phone
- (708) 486-2600
- Fax
- (708) 486-2610
- NPI assigned
- May 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3997898 | IL | Primary |
Addresses
Primary practice location
2415 S Michigan Ave
Chicago, IL 60616-2301
Mailing address
648 Polynesian Dr
Des Plaines, IL 60016-1134
Phone (847) 529-6451
Other practice location 1
648 Polynesian Dr
Des Plaines, IL 60016-1134
Phone (847) 529-6451
Other practice location 2
12 Salt Creek Ln Ste 105
Hinsdale, IL 60521-8607
Phone (708) 486-2600
Other practice location 3
1011 E Touhy Ave Ste 350
Des Plaines, IL 60018-5829
Phone (708) 486-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2415 S Michigan Ave
Chicago, IL 60616-2301
Phone (708) 486-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.74 of 100
- Quality
- 50.72
- Improvement activities
- 40
- Cost
- 48.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3997898 | IL | MD | Family Nurse Practitioner |
Interoperability endpoints
- mimithealth.elsa.thomas.shona@148732.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Vascular & Interventional Radiology Physician
- Hinsdale, IL
- NPI 1578505947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1821735556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 POLYNESIAN DR",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161134",
"telephone_number": "847-529-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162301",
"telephone_number": "708-486-2600",
"fax_number": "708-486-2610"
}
],
"practiceLocations": [
{
"address_1": "648 Polynesian Dr",
"address_purpose": "LOCATION",
"city": "Des Plaines",
"state": "IL",
"postal_code": "600161134",
"country_code": "US",
"telephone_number": "847-529-6451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 Salt Creek Ln Ste 105",
"address_purpose": "LOCATION",
"city": "Hinsdale",
"state": "IL",
"postal_code": "605218607",
"country_code": "US",
"telephone_number": "708-486-2600",
"fax_number": "708-486-2610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1011 E Touhy Ave Ste 350",
"address_purpose": "LOCATION",
"city": "Des Plaines",
"state": "IL",
"postal_code": "600185829",
"country_code": "US",
"telephone_number": "708-486-2600",
"fax_number": "708-486-2610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELSA THOMAS",
"first_name": "SHONA",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-15",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "3997898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.