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WYCONDAROGA E THOMAS
NPI 1184091894
Nurse Practitioner - Family in Gunnison, MS

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment
820 ASHLAND AVENUE, GUNNISON, MS 38746(662) 987-5023(662) 987-5025 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Jul 5, 2024, Mar 2, 2018 and 3 more (6 updates tracked since 2015).

About Wycondaroga E Thomas NPPES

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

WYCONDAROGA E THOMAS (NPI 1184091894) is an individual family provider in Gunnison, Mississippi, licensed in Mississippi (890243) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Northwest Missississippi Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1184091894
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWYCONDAROGA E THOMAS
Location Address820 ASHLAND AVENUEGunnison, MS 38746
Mailing AddressPo Box 357Gunnison, MS 38746-0357 · (662) 987-5023 · Fax (662) 987-5023
Phone(662) 987-5023
Fax(662) 987-5025
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 28, 2015
Last NPPES UpdateJune 16, 20256 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1184091894 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
Licenses✔ Licensed in MS · 890243✔ Licensed in MS · R892043✔ Licensed in TN · 35217
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 890243 (MS)
820 ASHLAND AVENUE, Gunnison, MS 38746
Open in Google Maps ↗

Other Identifiers 1

Medicaid04784050MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Wycondaroga E 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 ID8820390339
PECOS Enrollment IDI20240822000207
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 3

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.
14 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwest Missississippi Regional Medical Center

Acute Care Hospitals · Clarksdale, MS
OwnershipProprietary
CMS Certification Number250042
Location1970 Hospital DriveClarksdale, MS 38614 · Coahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38746 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Reported Quality Measures

Breast Cancer Screening
12%121 patients1/55-star benchmark: 93%
Cervical Cancer Screening
14%244 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
16%238 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
32%204 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
4%94 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
40%94 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,493 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%502 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 53% · 363 patients
Patients screened: 59% · 363 patients
63%57 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%103 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$102.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HEALTHY LIVING FAMILY MEDICAL CENTER LLC
Clinic/Center (Rural Health)
820 ASHLAND AVENUE
GUNNISION, MS 38746
Bolivar County (662) 987-5023

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 Wycondaroga Thomas's NPI number?

The NPI number for Wycondaroga Thomas is 1184091894. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Wycondaroga Thomas located?

Wycondaroga Thomas practices at 820 Ashland Avenue, Gunnison, MS 38746. The listed phone number is (662) 987-5023.

What is Wycondaroga Thomas's specialty?

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

Is Wycondaroga Thomas enrolled in Medicare?

Yes. Wycondaroga 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.

What insurance does Wycondaroga Thomas accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Wycondaroga 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 Wycondaroga Thomas affiliated with any hospitals?

According to CMS data, Wycondaroga Thomas is affiliated with Northwest Missississippi Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Wycondaroga Thomas was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.