JILLIAN THOMAS NP
NPI 1114443595
Nurse Practitioner - Family in Fort Wayne, IN

Q: What is Jillian Thomas's NPI number?

The NPI number for Jillian Thomas is 1114443595. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Q: What is Jillian 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 Jillian Thomas was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 17, 2017PECOS Enrolled

3512 STELLHORN RD, FORT WAYNE, IN 46815(260) 483-9081 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017, Aug 17, 2017 (3 updates tracked since 2017).

On this page

About Jillian Thomas Np NPPES

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

JILLIAN THOMAS NP (NPI 1114443595) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71007404A) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114443595

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJILLIAN THOMASCredential: NP

Location Address3512 STELLHORN RDFort Wayne, IN 46815-4631

Mailing Address3512 Stellhorn RdFort Wayne, IN 46815-4631 · (260) 483-9081

Phone(260) 483-9081

Sole ProprietorNo

Enumeration DateAugust 17, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1114443595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71007404A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71007404A (IN)

3512 STELLHORN RD, Fort Wayne, IN 46815

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Thomas Np 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 46815 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

MRS. LHYRA DAWIS MAYORALGO PT

Contractor