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ALLYSON LEE THOMAS
NPI 1154087807
Nurse Practitioner - Family in Neptune, NJ

Active since November 16, 2021PECOS EnrolledAccepts Medicare Assignment
19 DAVIS AVE FL 7, NEPTUNE, NJ 07753(732) 776-3797(732) 776-3796 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2024, Jan 6, 2022, Nov 16, 2021 (3 updates tracked since 2021).

About Allyson Lee Thomas NPPES

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

ALLYSON LEE THOMAS (NPI 1154087807) is an individual family provider in Neptune, New Jersey, licensed in New Jersey (26NJ01230500) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154087807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLYSON LEE THOMAS
Location Address19 DAVIS AVE FL 7Neptune, NJ 07753-4488
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
Phone(732) 776-3797
Fax(732) 776-3796
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 16, 2021
Last NPPES UpdateJune 16, 20263 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1154087807 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 NJ · 26NJ01230500
19 DAVIS AVE FL 7, Neptune, NJ 07753
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Allyson Lee 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 ID8729435201
PECOS Enrollment IDI20231104000692
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 Reassignments

2

Medicare enrollment records show Allyson Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC
9.2 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Lifeline Medical Associates, LLC
45 mi
Obstetrics & Gynecology
100 CAMPUS DR STE 405
Florham Park, NJ 07932
  • Reassigned Medicare billing, New Jersey enrollment
  • 230 clinicians in this Medicare group
NPI 1821041617 (800) 845-2785

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

HELEN KARWOWSKA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524
DR. ANN S ROSS M.D.
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524
BLAIR FAITH GERMAIN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524
CASEY MARKS MS
Genetic Counselor, MS
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-3681
DR. NINA STELLA JACOBSON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-3797
MISS CHRISTINE TORRES MSN, APN, FNP-BC
Nurse Practitioner
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-3797
EDUARDO R BAUTISTA MD
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524
DR. GREGG GIANNINA MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
19 DAVIS AVE FL 7
NEPTUNE, NJ 07753
Monmouth County (732) 776-4755

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 Allyson Thomas's NPI number?

The NPI number for Allyson Thomas is 1154087807. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Allyson Thomas located?

Allyson Thomas practices at 19 Davis Ave Fl 7, Neptune, NJ 07753. The listed phone number is (732) 776-3797.

What is Allyson Thomas's specialty?

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

Is Allyson Thomas enrolled in Medicare?

Yes. Allyson 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 organizations bill Medicare for Allyson Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allyson Thomas reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Lifeline Medical Associates, LLC (Florham Park, NJ). Each 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 Allyson Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allyson Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Allyson Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Allyson Thomas affiliated with any hospitals?

According to CMS data, Allyson Thomas is affiliated with Ocean Medical Center, Jersey Shore University Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Allyson 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.