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CRYSTAL THOMAS FNP
NPI 1316573835
Nurse Practitioner - Family in Chicago, IL

Active since March 16, 2020PECOS EnrolledAccepts Medicare Assignment
200 S WACKER DR, CHICAGO, IL 60606(773) 254-5555(773) 254-5025 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Thomas Fnp NPPES

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

CRYSTAL THOMAS FNP (NPI 1316573835) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.020961) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Saint James Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316573835
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL THOMASCredential: FNP
Location Address200 S WACKER DRChicago, IL 60606-5829
Mailing Address13012 Grande Poplar CirPlainfield, IL 60585-2870 · (815) 483-8761
Phone(773) 254-5555
Fax(773) 254-5025
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 16, 2020
NPPES CertifiedMarch 16, 2020
✔ NPI 1316573835 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 IL · 209.020961
200 S WACKER DR, Chicago, IL 60606
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Crystal Thomas Fnp 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 ID6103257860
PECOS Enrollment IDI20200513000329
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 4

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 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.
73 services62 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
30 services29 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.
20 services18 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.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60606 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

FELICIA DIANA WOODS
Nurse Practitioner (Family)
200 S WACKER DR
CHICAGO, IL 60606
Cook County (773) 254-5555

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 Crystal Thomas's NPI number?

The NPI number for Crystal Thomas is 1316573835. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Where is Crystal Thomas located?

Crystal Thomas practices at 200 S Wacker Dr, Chicago, IL 60606. The listed phone number is (773) 254-5555.

What is Crystal Thomas's specialty?

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

Is Crystal Thomas enrolled in Medicare?

Yes. Crystal 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 Crystal Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Crystal 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 Crystal Thomas affiliated with any hospitals?

According to CMS data, Crystal Thomas is affiliated with Saint James Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Thomas was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.