STACI JAE THOMAS WHNP-BC
NPI 1013739838
Nurse Practitioner - Women's Health in Boise, ID

Active since October 31, 2024PECOS Enrolled
100 E IDAHO ST STE 302, BOISE, ID 83712(208) 343-7501(208) 336-8248 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Staci Jae Thomas Whnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI JAE THOMAS WHNP-BC (NPI 1013739838) is an individual women's health provider in Boise, Idaho, licensed in Idaho (5961472) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013739838
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSTACI JAE THOMASCredential: WHNP-BC
Location Address100 E IDAHO ST STE 302Boise, ID 83712-6269
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 336-8248
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 31, 2024
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
NPI 1013739838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in ID · 5961472
100 E IDAHO ST STE 302, Boise, ID 83712

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Staci Jae Thomas Whnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971007121
PECOS Enrollment IDI20250919001181
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
100 E IDAHO ST STE 302
BOISE, ID 83712
Physician Assistant (Medical)
100 E IDAHO ST STE 302
BOISE, ID 83712
Physician Assistant
100 E IDAHO ST STE 302
BOISE, ID 83712
Obstetrics & Gynecology
100 E IDAHO ST STE 302
BOISE, ID 83712
Obstetrics & Gynecology
100 E IDAHO ST STE 302
BOISE, ID 83712
Specialist
100 E IDAHO ST STE 302
BOISE, ID 83712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Thomas's NPI number?

The NPI number for Staci Thomas is 1013739838. It was assigned to this individual provider in the NPPES registry on October 31, 2024.

Where is Staci Thomas located?

Staci Thomas practices at 100 E Idaho St Ste 302, Boise, ID 83712. The listed phone number is (208) 343-7501.

What is Staci Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Staci Thomas enrolled in Medicare?

Yes. Staci Thomas is registered in the Medicare PECOS enrollment system.

What insurance does Staci Thomas accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Staci Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Staci Thomas affiliated with any hospitals?

According to CMS data, Staci Thomas is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Staci Thomas was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.