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NICOLE ANTOINETTA THOMAS NP
NPI 1063076610
Nurse Practitioner - Family in Lathrup Village, MI

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
18451 W 12 MILE RD STE 200, LATHRUP VILLAGE, MI 48076(248) 827-7612 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Antoinetta Thomas Np NPPES

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

NICOLE ANTOINETTA THOMAS NP (NPI 1063076610) is an individual family provider in Lathrup Village, Michigan, licensed in Michigan (4704268761) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2018).

NPPES Registry Identity

NPI1063076610
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE ANTOINETTA THOMASCredential: NP
Location Address18451 W 12 MILE RD STE 200Lathrup Village, MI 48076-2635
Mailing Address18451 W 12 Mile Rd Ste 200Lathrup Village, MI 48076-2635 · (248) 827-7612
Phone(248) 827-7612
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2018
Enumeration DateApril 30, 2019
✔ NPI 1063076610 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 · 4704268761
18451 W 12 MILE RD STE 200, Lathrup Village, MI 48076
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Antoinetta Thomas Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193051977
PECOS Enrollment IDI20190731004029
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Michigan Medical Associates PC
Same address
Internal Medicine
18451 W 12 MILE RD, STE 200
Lathrup Village, MI 48076
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1417001660 (248) 827-7612

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
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.
1,572 services148 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
20 services12 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48076 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims19 services$12.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ZAID YALDO M.D.
Internal Medicine
18451 W 12 MILE RD STE 200
LATHRUP VILLAGE, MI 48076
Oakland County (248) 827-7612
COMPREHENSIVE INFECTIOUS DISEASES CONSULTANTS PLLC
Internal Medicine (Infectious Disease)
18451 W 12 MILE RD STE 200
LATHRUP VILLAGE, MI 48076
Oakland County (248) 832-2255

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 Nicole Thomas's NPI number?

The NPI number for Nicole Thomas is 1063076610. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Nicole Thomas located?

Nicole Thomas practices at 18451 W 12 Mile Rd Ste 200, Lathrup Village, MI 48076. The listed phone number is (248) 827-7612.

What is Nicole Thomas's specialty?

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

Is Nicole Thomas enrolled in Medicare?

Yes. Nicole Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Thomas reassigns Medicare benefits to Southeast Michigan Medical Associates PC (Lathrup Village, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Thomas was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.