MICHELE R. THOMAZIN RN, FNP-C
NPI 1528158474
Nurse Practitioner in Bolivar, MO

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
1317 W BROADWAY ST, BOLIVAR, MO 65613(417) 326-7250(417) 326-2766 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michele R. Thomazin Rn, Fnp-c NPPES

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

MICHELE R. THOMAZIN RN, FNP-C (NPI 1528158474) is an individual nurse practitioner in Bolivar, Missouri, licensed in Missouri (131629) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528158474
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELE R. THOMAZINCredential: RN, FNP-C
Location Address1317 W BROADWAY STBolivar, MO 65613-1814
Mailing Address1317 W Broadway StBolivar, MO 65613-1814 · (417) 326-7250 · Fax (417) 326-2766
Fax(417) 326-2766
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 13, 2006
Last NPPES UpdateSeptember 9, 2015
NPI 1528158474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 131629
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.

1317 W BROADWAY ST, Bolivar, MO 65613

Other Identifiers 4

Medicare UPINQ55594
Medicaid427479100MO
Other200905MO · Bcmo
Medicare ID-Type Unspecified827770038

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

Michele R. Thomazin Rn, Fnp-c 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 ID1951329978
PECOS Enrollment IDI20051108001109
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 3

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.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
52 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 2

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

Public Health or Welfare
1317 W BROADWAY ST
BOLIVAR, MO 65613
Nurse Practitioner (Family)
1317 W BROADWAY ST
BOLIVAR, MO 65613

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 Michele Thomazin's NPI number?

The NPI number for Michele Thomazin is 1528158474. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Michele Thomazin located?

Michele Thomazin practices at 1317 W Broadway St, Bolivar, MO 65613. The listed phone number is (417) 326-7250.

What is Michele Thomazin's specialty?

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

Is Michele Thomazin enrolled in Medicare?

Yes. Michele Thomazin 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.

When was this NPI record last updated?

The NPPES record for Michele Thomazin was last updated on September 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.