NIRMALA THOMAS CRNP
NPI 1639651680
Nurse Practitioner - Primary Care in Crofton, MD
NPI Status: Active since September 05, 2018
Contact Information
2131 DAVIDSONVILLE RD
CROFTON, MD
ZIP 21114
Phone: (410) 507-7617
- Individual
- Female
- Years of Experience 8
- Nurse Practitioner
- Primary Care
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NIRMALA THOMAS
This page provides the complete NPI Profile along with additional information for Nirmala Thomas, a provider established in Crofton, Maryland with a medical specialization in Nurse Practitioner, focusing in primary care and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1639651680 assigned on September 2018. The practitioner's primary taxonomy code is 363LP2300X with license number R156644 (MD). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1639651680
- Provider Name
- NIRMALA THOMAS CRNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2131 DAVIDSONVILLE RD CROFTON, MD 21114
- Location Phone
- (410) 507-7617
- Mailing Address
- 8316 CANYON OAK DR SEVERN, MD 21144
- Mailing Phone
- (240) 463-0239
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-05-2018
- Last Update Date
- 08-08-2022
- Code Navigator
A nurse practitioner (NP) like Nirmala 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.
Location Map
Secondary Locations
- 2001 Medical Pkwy
Annapolis, MD 21401
(240) 463-0239
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 Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R156644
- License State
- MD
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
NONE | OTHER (01) | N/A |
Medicare Participation & PECOS Enrollment Status
Nirmala Thomas is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Nirmala 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
PECOS PAC ID: 1759626179
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20181213000017
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE000N)
Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)
3 DME suppliers used 15 Medicare Claims 15 Services Paid
DME-Other DME (DE000N)
Commode chair, mobile or stationary, with fixed arms (HCPCS:E0163)
3 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)
6 DME suppliers used 56 Medicare Claims 56 Services Paid
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress (HCPCS:E0261)
1 DME suppliers used 20 Medicare Claims 20 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 22 Medicare Claims 22 Services Paid
DME-Other DME (DE000N)
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) (HCPCS:E0630)
2 DME suppliers used 19 Medicare Claims 19 Services Paid
DME-Wheelchairs (DD000N)
Heel loop/holder, any type, with or without ankle strap, each (HCPCS:E0951)
3 DME suppliers used 12 Medicare Claims 24 Services Paid
DME-Wheelchairs (DD021N)
Manual wheelchair accessory, wheel lock brake extension (handle), each (HCPCS:E0961)
3 DME suppliers used 15 Medicare Claims 28 Services Paid
DME-Wheelchairs (DD021N)
Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)
3 DME suppliers used 14 Medicare Claims 28 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each (HCPCS:E0973)
1 DME suppliers used 12 Medicare Claims 23 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
3 DME suppliers used 26 Medicare Claims 26 Services Paid
DME-Wheelchairs (DD021N)
General use wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2601)
4 DME suppliers used 15 Medicare Claims 15 Services Paid
DME-Wheelchairs (DD021N)
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2611)
3 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
6 DME suppliers used 147 Medicare Claims 147 Services Paid
DME-Wheelchairs (DD000N)
Lightweight wheelchair (HCPCS:K0003)
3 DME suppliers used 35 Medicare Claims 35 Services Paid
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
3 DME suppliers used 31 Medicare Claims 31 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 15 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 35 minutes
Initial nursing facility visit per day, typically 45 minutes
Nursing facility discharge day management, 30 minutes or less
Nursing facility discharge management, more than 30 minutes
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 63 times for 32 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 1,062 times for 343 patientsA follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 1,003 times for 392 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 71 times for 65 patientsNursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
This service was performed 17 times for 16 patientsNursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
This service was performed 175 times for 164 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.52 for a new patient copayment and $26.64 for an established patient copayment.
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 21114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.08
- Minimum New Patient Price $60.73
- Maximum New Patient Price $183.44
- Average New Patient Copayment $23.52
- Minimum New Patient Copayment $15.18
- Maximum New Patient Copayment $45.86
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.59
- Minimum Established Patient Price $19.6
- Maximum Established Patient Price $149.17
- Average Established Patient Copayment $26.64
- Minimum Established Patient Copayment $4.9
- Maximum Established Patient Copayment $37.29
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nirmala Thomas is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC | 2001 MEDICAL PARKWAY ANNAPOLIS, MD 21401 | (443) 481-1000 | Acute Care Hospitals |
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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 | 6 | 3 | 9 | 6 | 5 | 1 | 6 | 8 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 12 | 5 | 2 | 6 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 1 + 2 + 5 + 2 + 6 + 1 + 6 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1639651680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1093782468 | CROFTON CONVALESCENT CENTER, INC. Organization | Skilled Nursing Facility | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1275908634 | KAYLA UNDERWOOD Individual | Speech-Language Pathologist | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1578119558 | COURTNEY THERESA LITECKY OTR/L Individual | Occupational Therapist | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (443) 472-6948 |
1962058800 | JENNIFER MCNAMARA Individual | Occupational Therapist | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1528615945 | MR. JASON ULYSSES TERRY SR. COTA/L Individual | Occupational Therapist (Physical Rehabilitation) | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 800-7733 |
1730736281 | DENISE MONAHAN Individual | Speech-Language Pathologist | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1649827502 | MA ELVIRA NAYAL Individual | Physical Therapist | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1831746718 | MICHAEL BEEMAN Individual | Physical Therapy Assistant | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1043868649 | ROBIN DEMASO COTA Individual | Occupational Therapy Assistant | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1730737073 | KURT MICHAEL RINEHART Individual | Physical Therapist (Geriatrics) | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1962043398 | AREEJ YAMIN Individual | Speech-Language Pathologist | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1538704614 | CHRISTINA COLE Individual | Physical Therapy Assistant | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1265062954 | ADVANCED DIALYSIS CENTER, LLC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (301) 577-1007 |
1558991935 | ASHLEIGH CONATSER Individual | Physical Therapy Assistant | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1689209033 | CHRISTINA MORRISON Individual | Physical Medicine & Rehabilitation | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1255942876 | MARK GILLIES CU Individual | Occupational Therapy Assistant | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 721-1000 |
1538761184 | COURTNEY ALLEN Individual | Physical Therapy Assistant | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 793-0123 |
1538736566 | 2131 DAVIDSONVILLE OPCO, LLC Organization | Skilled Nursing Facility | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (877) 567-0402 |
1063147395 | MARYLAND ELDER CARE LLC Organization | Internal Medicine | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 507-7617 |
1730506304 | MEGAN GREY Individual | Nurse Practitioner | 2131 DAVIDSONVILLE RD CROFTON, MD 21114 (410) 507-7617 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639651680, enumerated in the NPI registry as an "individual" on September 05, 2018
The provider is located at 2131 Davidsonville Rd Crofton, Md 21114 and the phone number is (410) 507-7617
The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care
The provider has more than 8 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 $94.08 with an average copayment of $23.52 for new patient appointments. Established patients should expect a typical charge of $106.59 and an average copayment of 26.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 15 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Follow-up nursing facility visit per day, typically 35 minutes, Initial nursing facility visit per day, typically 45 minutes, Nursing facility discharge day management, 30 minutes or less and Nursing facility discharge management, more than 30 minutes.
The practitioner is affiliated to the following hospital(s): LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 05, 2018. 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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