ALLISON LEE THOMAS NURSE PRACTITIONER
NPI 1235434739
Nurse Practitioner in Raleigh, NC

Active since January 14, 2011PECOS EnrolledAccepts Medicare Assignment
65.58/100
CMS Quality Rating
5838 SIX FORKS RD STE 100, RALEIGH, NC 27609(919) 785-3400(919) 783-7778 Get Directions Write a Review

NPPES record last updated: January 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2024, Nov 7, 2018 (2 updates tracked since 2018).

About Allison Lee Thomas Nurse Practitioner NPPES

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

ALLISON LEE THOMAS NURSE PRACTITIONER (NPI 1235434739) is an individual nurse practitioner in Raleigh, North Carolina, licensed in North Carolina (5004732) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235434739
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALLISON LEE THOMASCredential: NURSE PRACTITIONER
Location Address5838 SIX FORKS RD STE 100Raleigh, NC 27609-3893
Mailing AddressPo Box 63082Charlotte, NC 28263-3082 · (919) 785-3400 · Fax (919) 783-7778
Fax(919) 783-7778
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 14, 2011
Last NPPES UpdateJanuary 7, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2024
NPI 1235434739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5004732
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 194558 (NC)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5004732 (NC)
5838 SIX FORKS RD STE 100, Raleigh, NC 27609

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

Allison Lee Thomas Nurse Practitioner 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 ID9133309446
PECOS Enrollment IDI20110203000524
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 7

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 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.
111 services80 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.
82 services73 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
56 services52 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
50 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services31 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
29 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

65.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.35
Promoting Interoperability100
Improvement Activities40
Cost37.94

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Surgical)
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant (Surgical)
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Neurological Surgery
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Neurological Surgery
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609
Physician Assistant
5838 SIX FORKS RD STE 100
RALEIGH, NC 27609

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 Allison Thomas's NPI number?

The NPI number for Allison Thomas is 1235434739. It was assigned to this individual provider in the NPPES registry on January 14, 2011.

Where is Allison Thomas located?

Allison Thomas practices at 5838 Six Forks Rd Ste 100, Raleigh, NC 27609. The listed phone number is (919) 785-3400.

What is Allison Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Allison Thomas enrolled in Medicare?

Yes. Allison 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 Allison Thomas accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Allison 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 Allison Thomas affiliated with any hospitals?

According to CMS data, Allison Thomas is affiliated with Unc Health Wayne and Unc Lenoir Health Care.

When was this NPI record last updated?

The NPPES record for Allison Thomas was last updated on January 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.