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CARLA ANN THOMAS APN
NPI 1346780756
Nurse Practitioner - Family in Naperville, IL

Active since March 03, 2017PECOS Enrolled
91.35/100
CMS Quality Rating
801 S WASHINGTON ST, NAPERVILLE, IL 60540(630) 527-3000 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2022, Mar 3, 2017 (2 updates tracked since 2017).

About Carla Ann Thomas Apn NPPES

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

CARLA ANN THOMAS APN (NPI 1346780756) is an individual family provider in Naperville, Illinois, licensed in Illinois (209015521) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346780756
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA ANN THOMASCredential: APN
Location Address801 S WASHINGTON STNaperville, IL 60540-7430
Mailing Address1417 Forest RdLa Grange Park, IL 60526-1120 · (708) 715-7954
Phone(630) 527-3000
Sole ProprietorNo
Enumeration DateMarch 3, 2017
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1346780756 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 · 209015521
801 S WASHINGTON ST, Naperville, IL 60540
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Ann Thomas Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Carla Thomas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Health Ventures
0.1 mi
Neurology
120 SPALDING DR, STE 207
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1063830081 (630) 527-7730
Elmhurst Memorial Healthcare
13 mi
Multi-Specialty
1200 S YORK ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group
NPI 1457493454 (331) 221-9000
Endeavor Health Medical Group
32 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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 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 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.
129 services57 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.
49 services30 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.
48 services28 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$51.50 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier12 claims12 services$46.51 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers55 claims55 services$44.21 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress E0294
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$46.40 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$14.94 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers11 claims11 services$38.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. HAFEZ M. SAMI M.D.
Pain Medicine (Interventional Pain Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 348-3300
MICHAEL J. HARTMANN MD
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
SEEMA ISHAQ JEELANI D.O.
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
CORTNEY COLE MD
Family Medicine (Hospice and Palliative Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
EDWARD HOSPITAL
General Acute Care Hospital
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 655-0450
DR. HODA A. EL- ASMAR MD
Internal Medicine (Infectious Disease)
801 S WASHINGTON ST, EDWARD HOSPITAL, ADMINISTRATION, VPMA OFFICE
NAPERVILLE, IL 60540
Dupage County (630) 527-5647
AMAAR MASOOD MALIK DO
Radiology (Diagnostic Radiology)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3200
DR. SANGITA RANGALA M.D.
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3288

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 Carla Thomas's NPI number?

The NPI number for Carla Thomas is 1346780756. It was assigned to this individual provider in the NPPES registry on March 3, 2017.

Where is Carla Thomas located?

Carla Thomas practices at 801 S Washington St, Naperville, IL 60540. The listed phone number is (630) 527-3000.

What is Carla Thomas's specialty?

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

Is Carla Thomas enrolled in Medicare?

Yes. Carla Thomas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carla Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Thomas reassigns Medicare benefits to 3 organizations: Edward Health Ventures (Naperville, IL), Elmhurst Memorial Healthcare (Elmhurst, IL) and Endeavor Health Medical Group (Evanston, IL). 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 Carla Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Thomas accept?

Health plans from Oscar Health list Carla 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.

When was this NPI record last updated?

The NPPES record for Carla Thomas was last updated on January 26, 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.