Individual provider Active NPI

Shona Elsa Thomas, MSN, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1821735556
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3997898 Issued in IL
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

Updated by the provider on Sep 19, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609000928 IL Practitioner - Nurse Practitioner 1658738422 Reassigns benefits to 1 organization

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
Midwest Institute for Minimally Invasive TherapiesGroup PAC ID 1153390448, 8 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
3997898ILMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.