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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HOLLY THOMAS CNM
NPI 1104378181
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD

Active since October 26, 2016PECOS Enrolled
1165 IMPERIAL DR STE 200, HAGERSTOWN, MD 21740(301) 665-9098(301) 665-9096 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Jul 25, 2022, May 19, 2021 and 3 more (6 updates tracked since 2016).

About Holly Thomas Cnm NPPES

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

HOLLY THOMAS CNM (NPI 1104378181) is an individual psychiatric/mental health provider in Hagerstown, Maryland, licensed in Virginia (0024197363) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104378181
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHOLLY THOMASCredential: CNM
Location Address1165 IMPERIAL DR STE 200Hagerstown, MD 21740-6583
Mailing Address8110 Maple Lawn Blvd Ste 235Fulton, MD 20759-2694 · (301) 340-8339
Phone(301) 665-9098
Fax(301) 665-9096
Sole ProprietorNo
Enumeration DateOctober 26, 2016
Last NPPES UpdateJune 16, 20266 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1104378181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024197363
Also ListedMidwifeTaxonomy 176B00000X · License R190986 (MD)
Also ListedNurse PractitionerTaxonomy 363L00000X · License R190986 (MD)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 0024197363 (VA)
1165 IMPERIAL DR STE 200, Hagerstown, MD 21740
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11190 Winterson Rd Ste 200Linthicum Heights, MD 21090-2245 · Phone (615) 478-6748
Location 2301 S Perimeter Park Dr Ste 100Nashville, TN 37211-4128 · Phone (615) 478-6748
Location 325 Douglas LnBerkeley Springs, WV 25411-5165 · Phone (304) 596-4744
Location 49221 Forest Hill Ave Ste 100Richmond, VA 23235-6876 · Phone (304) 596-4744

Other Identifiers 1

OtherR190986MD · 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)

Holly Thomas Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 21740 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 3

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

JACQUELINE YVONNE SULLIVAN CNM
Advanced Practice Midwife
1165 IMPERIAL DR STE 200
HAGERSTOWN, MD 21740
Washington County (301) 665-9098
VICTORIA M. WILLEY CRNP
Nurse Practitioner
1165 IMPERIAL DR STE 200
HAGERSTOWN, MD 21740
Washington County (301) 466-5190
KATIE ELIZABETH SCHLEIGH CNM
Midwife
1165 IMPERIAL DR STE 200
HAGERSTOWN, MD 21740
Washington County (301) 665-9098

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 Holly Thomas's NPI number?

The NPI number for Holly Thomas is 1104378181. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Holly Thomas located?

Holly Thomas practices at 1165 Imperial Dr Ste 200, Hagerstown, MD 21740. The listed phone number is (301) 665-9098.

What is Holly Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Holly Thomas enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Holly Thomas was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.