TYSON W THOMAS APRN, FNP-C
NPI 1023993508
Nurse Practitioner - Family in Salt Lake City, UT

Q: What is Tyson Thomas's NPI number?

The NPI number for Tyson Thomas is 1023993508. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Q: What is Tyson Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tyson Thomas was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 06, 2025PECOS Enrolled

1840 S 1300 E, SALT LAKE CITY, UT 84105(208) 970-9522 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2025, Aug 6, 2025 (2 updates tracked since 2025).

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About Tyson W Thomas Aprn, Fnp-c NPPES

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

TYSON W THOMAS APRN, FNP-C (NPI 1023993508) is an individual family provider in Salt Lake City, Utah, licensed in Utah (11857997-4405) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023993508

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTYSON W THOMASCredential: APRN, FNP-C

Location Address1840 S 1300 ESalt Lake City, UT 84105-3617

Mailing Address1840 S 1300 ESalt Lake City, UT 84105-3617

Phone(208) 970-9522

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 6, 2025

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1023993508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 11857997-4405

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11857997-4405 (UT)

1840 S 1300 E, Salt Lake City, UT 84105

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyson W Thomas Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436620705

PECOS Enrollment IDI20260608002217

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84105 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 20

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

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