MRS. KELLY RENEE THOMAS NP-C
NPI 1053900696
Nurse Practitioner - Family in Lansing, MI

Q: What is Kelly Thomas's NPI number?

The NPI number for Kelly Thomas is 1053900696. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Q: What is Kelly 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 Kelly Thomas was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 January 17, 2021PECOS Enrolled

1921 E MILLER RD, LANSING, MI 48911(517) 319-0700 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2021, May 6, 2021, Jan 17, 2021 (3 updates tracked since 2021).

On this page

About Mrs. Kelly Renee Thomas Np-c NPPES

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

MRS. KELLY RENEE THOMAS NP-C (NPI 1053900696) is an individual family provider in Lansing, Michigan, licensed in Michigan (4704263759) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053900696

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLY RENEE THOMASCredential: NP-C

Location Address1921 E MILLER RDLansing, MI 48911-5348

Mailing Address1921 E Miller RdLansing, MI 48911-5348 · (517) 319-0700

Phone(517) 319-0700

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 17, 2021

Last NPPES UpdateMay 10, 20213 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1053900696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704263759

1921 E MILLER RD, Lansing, MI 48911

Open in Google Maps ↗

Other Identifiers 1

Other4704263759MI · Rn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Renee Thomas Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183148265

PECOS Enrollment IDI20251105001031

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 48911 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 9

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

MRS. SUSANNE HEDWIG MOSS PT

Physical Therapist