MICHELLE THOMAS
NPI 1396273645
Nurse Practitioner - Family in Hyannis, MA
NPI Status: Active since May 31, 2017
Contact Information
433 W MAIN ST
HYANNIS, MA
ZIP 02601
Phone: (508) 778-4777
Fax: (508) 771-9555
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
- Opted-Out Medicare
About MICHELLE THOMAS
This page provides the complete NPI Profile along with additional information for Michelle Thomas, a provider established in Hyannis, Massachusetts with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1396273645 assigned on May 2017. The practitioner's primary taxonomy code is 363LF0000X with license number RN2260535 (MA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1396273645
- Provider Name
- MICHELLE THOMAS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 433 W MAIN ST HYANNIS, MA 02601
- Location Phone
- (508) 778-4777
- Location Fax
- (508) 771-9555
- Mailing Address
- 433 W MAIN ST HYANNIS, MA 02601
- Mailing Phone
- (508) 778-4777
- Mailing Fax
- (508) 771-9555
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2017
- Last Update Date
- 07-21-2022
- Code Navigator
A nurse practitioner (NP) like Michelle Thomas is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michelle Thomas opted out of Medicare effective on 05-30-2023 until 05-30-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN2260535
- License State
- MA
Medicare Participation & PECOS Enrollment Status
Michelle Thomas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-30-2023
Opt-Out End Date: 05-30-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MICHELLE THOMAS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 2 | 7 | 3 | 6 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 4 | 7 | 6 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 4 + 7 + 6 + 6 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1396273645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790795813 | DR. JEFFREY PHILLIPS DAVIES I D.O. Individual | Internal Medicine | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1396755211 | DR. ANN R SKOPEK M.D. Individual | Internal Medicine | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1528147709 | HEATHER CANTERBURY LOWES MALCOMSON NP Individual | Nurse Practitioner (Primary Care) | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1548326093 | SUSAN HARRINGTON NP Individual | Nurse Practitioner | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1487710836 | PATRICIA TONRA NP Individual | Nurse Practitioner | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1033323217 | ELIZABETH DUNTON NP Individual | Nurse Practitioner | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1386687234 | DR. NATHANIEL G CLARK MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1609077437 | DR. MIRIAM CERUTTI D.O. Individual | Internal Medicine | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1295774057 | DR. MICHAEL EDWARD MARKOWSKI D.O. Individual | Psychiatry & Neurology (Neurology) | 433 W MAIN ST EMERALD PHYSICIANS HYANNIS, MA 02601 (508) 778-4777 |
| 1023447158 | CARRIE A SULLIVAN NP Individual | Nurse Practitioner (Family) | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1528387826 | MS. DIANA ANDRUSYSHYN APRN Individual | Nurse Practitioner (Family) | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1912961707 | GROVER BAXLEY MD Individual | Internal Medicine | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1851340475 | ARTHUR CRAGO MD Individual | Internal Medicine | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1598846529 | AMY LOUISE GARDNER M.D. Individual | Internal Medicine | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1578099164 | EMERALD PHYSICIANS Organization | Nurse Practitioner (Family) | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1952443244 | EMERALD PHYSICIAN SERVICES, LLC Organization | Internal Medicine | 433 W MAIN ST HYANNIS, MA 02601 (508) 778-4777 |
| 1598423824 | ADVANCED ALLERGY Organization | Allergy & Immunology (Clinical & Laboratory Immunology) | 433 W MAIN ST HYANNIS, MA 02601 (508) 362-0099 |
| 1376177790 | GREATER BOSTON ALLERGY ASTHMA SINUS & IMMUNOLOGY CENTERS, P.C. Organization | Internal Medicine (Allergy & Immunology) | 433 W MAIN ST HYANNIS, MA 02601 (508) 362-0099 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396273645, enumerated in the NPI registry as an "individual" on May 31, 2017
The provider is located at 433 W Main St Hyannis, Ma 02601 and the phone number is (508) 778-4777
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on May 30, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 30, 2025.
This NPI record was last updated on May 31, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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