NICOLE LEA THOMAS
NPI 1073154308
Nurse Practitioner - Women's Health in York, PA

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment
36.85/100
CMS Quality Rating

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2025, Mar 11, 2021, Jan 9, 2021 and 1 more (4 updates tracked since 2019).

About Nicole Lea Thomas NPPES

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

NICOLE LEA THOMAS (NPI 1073154308) is an individual women's health provider in York, Pennsylvania, licensed in Pennsylvania (SP020701) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073154308
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameNICOLE LEA THOMAS
Location Address1101 EDGAR STYork, PA 17403-2862
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 8, 2019
Last NPPES UpdateMarch 18, 20254 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1073154308 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 PA · SP020701
1101 EDGAR ST, York, PA 17403

Secondary Practice Locations 2

Location 1450 S Washington StGettysburg, PA 17325-2500 · Phone (717) 337-4487
Location 21001 S George StYork, PA 17403-3676 · Phone (717) 851-2348

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Lea Thomas 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 ID9234561374
PECOS Enrollment IDI20191112001018
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

36.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.45
Improvement Activities20
Cost60.35

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.

Counselor (Professional)
1101 EDGAR ST
YORK, PA 17403
Nurse Practitioner (Psychiatric/Mental Health)
1101 EDGAR ST
YORK, PA 17403
Counselor (Addiction (Substance Use Disorder))
1101 EDGAR ST
YORK, PA 17403
Registered Nurse
1101 EDGAR ST, SUITE A
YORK, PA 17403
Family Medicine
1101 EDGAR ST, SUITE E
YORK, PA 17403
Counselor (Professional)
1101 EDGAR ST, SUITE A
YORK, PA 17403
Counselor (Professional)
1101 EDGAR ST, STE A
YORK, PA 17403
Social Worker (Clinical)
1101 EDGAR ST
YORK, PA 17403

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 1073154308. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Nicole Thomas located?

Nicole Thomas practices at 1101 Edgar St, York, PA 17403. The listed phone number is (717) 812-4602.

What is Nicole Thomas's specialty?

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

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.

Is Nicole Thomas affiliated with any hospitals?

According to CMS data, Nicole Thomas is affiliated with Wellspan York Hospital and Gettysburg Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Thomas was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.