HOLLY THOMAS CNM
NPI 1104378181
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD
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
Specialties & Licenses 4
Secondary Practice Locations 4
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Thomas Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fulton, MD 20759
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Capital Womens Care LLC
- 167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
HAGERSTOWN, MD 21740
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.
Which organization bills Medicare for Holly Thomas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Thomas reassigns Medicare benefits to Capital Women's Care, L.L.C. (Fulton, MD). 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 Holly 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 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 4 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.
# Holly Thomas, CNM · NPI 1104378181
Psychiatric/Mental Health physician in Hagerstown, Maryland. Individual provider, active in the CMS NPPES registry since October 26, 2016.
## Identity
- **NPI:** 1104378181 (Entity type: Individual)
- **Enumerated:** October 26, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024197363 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1165 IMPERIAL DR STE 200, Hagerstown, MD 21740-6583
- **Phone:** (301) 665-9098 · **Fax:** (301) 665-9096
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Capital Women's Care, L.L.C. (NPI 1679534069, Fulton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2026
- **Other identifiers:** Other R190986 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1104378181) · Data from the CMS NPPES public registry.