SHAWNA MARIE THOMAS DNP
NPI 1205556636
Nurse Practitioner - Adult Health in Traverse City, MI

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
550 MUNSON AVE, TRAVERSE CITY, MI 49686(231) 935-8540 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jun 4, 2024, Sep 19, 2022 and 1 more (4 updates tracked since 2022).

About Shawna Marie Thomas Dnp NPPES

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

SHAWNA MARIE THOMAS DNP (NPI 1205556636) is an individual adult health provider in Traverse City, Michigan, licensed in Michigan (4704267922) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205556636
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHAWNA MARIE THOMASCredential: DNP
Location Address550 MUNSON AVETraverse City, MI 49686-3580
Mailing Address550 Munson AveTraverse City, MI 49686-3580 · (231) 935-8540
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateSeptember 19, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1205556636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MI · 4704267922
550 MUNSON AVE, Traverse City, MI 49686

Accepted 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

Shawna Marie Thomas Dnp 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 ID1254717259
PECOS Enrollment IDI20220928002222
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 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
206 services56 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
105 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services33 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services23 patients
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.
25 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Psychiatry & Neurology (Neurology)
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Specialist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Audiologist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Pharmacy (Long Term Care Pharmacy)
550 MUNSON AVE, SUITE G-100
TRAVERSE CITY, MI 49686
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Occupational Therapist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI 49686

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 Shawna Thomas's NPI number?

The NPI number for Shawna Thomas is 1205556636. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Shawna Thomas located?

Shawna Thomas practices at 550 Munson Ave, Traverse City, MI 49686. The listed phone number is (231) 935-8540.

What is Shawna Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shawna Thomas enrolled in Medicare?

Yes. Shawna 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 Shawna Thomas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Shawna 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 Shawna Thomas affiliated with any hospitals?

According to CMS data, Shawna Thomas is affiliated with Munson Medical Center and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Shawna Thomas was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.