SHIRLEY THOMAS FNP-BC
NPI 1306591011
Nurse Practitioner - Family in Macomb, MI

Active since February 21, 2022PECOS EnrolledAccepts Medicare Assignment
80.1/100
CMS Quality Rating
49288 GAVIOTA LN, MACOMB, MI 48044(586) 864-4703 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shirley Thomas Fnp-bc NPPES

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

SHIRLEY THOMAS FNP-BC (NPI 1306591011) is an individual family provider in Macomb, Michigan, licensed in Michigan (4704219948NSA2111G) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306591011
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHIRLEY THOMASCredential: FNP-BC
Location Address49288 GAVIOTA LNMacomb, MI 48044-1164
Mailing Address49288 Gaviota LnMacomb, MI 48044-1164 · (586) 864-4703
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1306591011 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 MI · 4704219948NSA2111G
49288 GAVIOTA LN, Macomb, MI 48044

Accepted 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

Shirley Thomas Fnp-bc 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 ID2365812039
PECOS Enrollment IDI20221222000206
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

6

Medicare enrollment records show Shirley Thomas reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
26677 W 12 MILE RD # B6
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 37 clinicians in this Medicare group
Physical Medicine & Rehabilitation
18312 MIDDLEBELT RD
Livonia, MI 48152
  • Reassigned Medicare billing, Michigan enrollment
  • 34 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
Physical Medicine & Rehabilitation
600 W NATIONAL RD
Englewood, OH 45322
  • Reassigned Medicare billing, Michigan enrollment
  • 30 clinicians in this Medicare group

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 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,806 services189 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
210 services126 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
192 services98 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
84 services83 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48044 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

80.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.82
Improvement Activities40

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 Shirley Thomas's NPI number?

The NPI number for Shirley Thomas is 1306591011. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Where is Shirley Thomas located?

Shirley Thomas practices at 49288 Gaviota Ln, Macomb, MI 48044. The listed phone number is (586) 864-4703.

What is Shirley Thomas's specialty?

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

Is Shirley Thomas enrolled in Medicare?

Yes. Shirley 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 Shirley Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Thomas reassigns Medicare benefits to 6 organizations: Academic Internal Medicine Specialists PLLC (Southfield, MI), Michigan Sports And Spine Center PC (Livonia, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Complexcare Medical Group Midwest M PLLC (Novi, MI), Theoria Medical (Novi, MI) and 1 more organization, listed in the Medicare section above. 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 Shirley Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirley Thomas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health Insurance, Oscar Insurance Company and Oscar Insurance Corporation of Ohio and 2 other insurers list Shirley 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 Shirley Thomas affiliated with any hospitals?

According to CMS data, Shirley Thomas is affiliated with Henry Ford Macomb Hospital.

When was this NPI record last updated?

The NPPES record for Shirley Thomas was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.