MRS. KIMIALEESHA THOMAS FNP
NPI 1285916619
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Kimialeesha Thomas's NPI number?

The NPI number for Kimialeesha Thomas is 1285916619. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Q: What is Kimialeesha Thomas's specialty?

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

Active since September 12, 2011PECOS Enrolled

3059 EDGEWOOD AVE W, JACKSONVILLE, FL 32209(904) 647-3180(904) 425-9030 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kimialeesha Thomas Fnp NPPES

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

MRS. KIMIALEESHA THOMAS FNP (NPI 1285916619) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN9472424) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Harker Heights, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285916619

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KIMIALEESHA THOMASCredential: FNP

Location Address3059 EDGEWOOD AVE WJacksonville, FL 32209-2207

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117 · Fax (305) 393-5989

Phone(904) 647-3180

Fax(904) 425-9030

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 12, 2011

Last NPPES UpdateJanuary 9, 2026

NPPES CertifiedJanuary 9, 2026

✔ NPI 1285916619 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 FL · APRN9472424

3059 EDGEWOOD AVE W, Jacksonville, FL 32209

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Secondary Practice Location 1

Location 1504 Etowah DrHarker Heights, TX 76548-5501 · Phone (334) 806-2523

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimialeesha Thomas Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870768633

PECOS Enrollment IDI20251216000537

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 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 10

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

SHISHIR DAVID

Family Medicine