SIR JOHN THOMAS
NPI 1417832528
Nurse Practitioner in Springfield, IL

Q: What is Sir John Thomas's NPI number?

The NPI number for Sir John Thomas is 1417832528. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Q: What is Sir John Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sir John Thomas was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since August 07, 2025PECOS EnrolledAccepts Medicare Assignment

619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701(217) 788-0706(217) 525-2535 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Sir John Thomas NPPES

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

SIR JOHN THOMAS (NPI 1417832528) is an individual nurse practitioner in Springfield, Illinois, licensed in Illinois (209033075) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417832528

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSIR JOHN THOMAS

Location Address619 E MASON ST STE 4P57Springfield, IL 62701-1034

Mailing Address619 E Mason St Ste 4p57Springfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535

Phone(217) 788-0706

Fax(217) 525-2535

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 7, 2025

Last NPPES UpdateOctober 14, 2025

NPPES CertifiedOctober 14, 2025

✔ NPI 1417832528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209033075

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041417130 (IL)

619 E MASON ST STE 4P57, Springfield, IL 62701

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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

Sir John Thomas 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 ID7810494614

PECOS Enrollment IDI20251008001639

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.

Hospital Affiliations CMS Care Compare

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

REX RIZALDO APRN

Nurse Practitioner (Critical Care Medicine)