Individual provider Active NPI

Jerry Thomas, NP

  • Family Nurse Practitioner
  • Mesquite, NV
National Provider Identifier
1891475257
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9223579-4405 Issued in UT
Practice address
1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
Phone
(702) 346-0800
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 9223579-4405 UT Primary

Addresses

Primary practice location

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503

Mailing address

1000 N Main St
Richfield, UT 84701-2061
Phone (435) 893-4100

Other practice location 1

1000 N Main St
Richfield, UT 84701-2061
Phone (435) 893-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 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
I20231117001550 NV Practitioner - Nurse Practitioner 2062869753 Reassigns benefits to 2 organizations
I20231207001945 UT Practitioner - Nurse Practitioner 2062869753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians
Mesquite Clinic Management Company LLCGroup PAC ID 8123456456, shared by 3 NPIs, 23 clinicians
Omnia Care Physician Services LLCGroup PAC ID 1951756881, 2 clinicians

Practice addresses (Care Compare)

1000 N Main
Sevier Valley Hospital Physicians GRP
Richfield, UT 84701-1843
Phone (435) 893-4100

1000 N Main St
Richfield, UT 84701-2061
Phone (435) 896-6496

1301 Bertha Howe Ave
Mesquite, NV 89027-7503

350 Falcon Ridge Pkwy
Suite 101
Mesquite, NV 89027-8879
Phone (702) 849-0585

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 23, 2023 Accepting new patients
Mesquite Clinic Management Company LLC CurrentSince Oct 16, 2023 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Omnia Care Physician Services LLC CurrentSince Jul 3, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 11, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Oct 23, 2023 Accepting new patients
Mesquite Clinic Management Company LLC CurrentSince Oct 16, 2023 Accepting new patients
MMC of Nevada LLC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1301 Bertha Howe Ave
Ste 1
Mesquite, NV 89027
Phone (702) 346-0200

350 Falcon Ridge Pkwy
Ste 101
Mesquite, NV 89027
Phone (702) 849-0585

450 Hillside Dr
Ste 102
Mesquite, NV 89027
Phone (702) 346-4302

450 Hillside Dr
Ste 104
Mesquite, NV 89027
Phone (702) 345-2650

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

1000 N Main St
Ste A
Richfield, UT 84701
Phone (435) 893-0580

1000 N Main St
Ste B
Richfield, UT 84701
Phone (435) 289-2167

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • Direct secure messaging: jerry.thomas.1@2184.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1891475257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012061",
            "telephone_number": "435-893-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Main St",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "UT",
            "postal_code": "847012061",
            "country_code": "US",
            "telephone_number": "435-893-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JERRY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9223579-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.