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DR. THOMAS GEORGE JR. DNP, CRNP, FNP-C
NPI 1417338930
Nurse Practitioner - Family in Shelley, ID

Active since June 10, 2015PECOS Enrolled
555 W OAK ST STE 2, SHELLEY, ID 83274(240) 308-1771 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Jul 31, 2019 (2 updates tracked since 2019).

About Dr. Thomas George Jr. Dnp, Crnp, Fnp-c NPPES

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

DR. THOMAS GEORGE JR. DNP, CRNP, FNP-C (NPI 1417338930) is an individual family provider in Shelley, Idaho, licensed in Maryland (R216085) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417338930
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. THOMAS GEORGE JR.Credential: DNP, CRNP, FNP-C
Location Address555 W OAK ST STE 2Shelley, ID 83274-1161
Mailing Address555 W Oak St Ste 2Shelley, ID 83274-1161 · (240) 308-1771
Phone(240) 308-1771
Sole ProprietorNo
Enumeration DateJune 10, 2015
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1417338930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R216085
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License R216085 (MD)
555 W OAK ST STE 2, Shelley, ID 83274
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Secondary Practice Locations 3

Location 12034 La Rain CtIdaho Falls, ID 83402-4853 · Phone (240) 308-1771
Location 2106 Cemetery RdAccident, MD 21520-2097 · Phone (301) 746-8627
Location 3311 N 4th St Ste 1Oakland, MD 21550-1371 · Phone (301) 334-7855

Other Identifiers 1

Medicaid926580503MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas George Jr. Dnp, Crnp, Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83274 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Thomas George's NPI number?

The NPI number for Thomas George is 1417338930. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Thomas George located?

Thomas George practices at 555 W Oak St Ste 2, Shelley, ID 83274. The listed phone number is (240) 308-1771.

What is Thomas George's specialty?

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

Is Thomas George enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas George was last updated on June 12, 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.