TOSHA THOMAS APRN
NPI 1558767939
Nurse Practitioner - Family in London, KY

Active since November 12, 2014PECOS EnrolledAccepts Medicare Assignment
165 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741(606) 330-7900(606) 330-7905 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 18, 2017 (3 updates tracked since 2017).

About Tosha Thomas Aprn NPPES

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

TOSHA THOMAS APRN (NPI 1558767939) is an individual family provider in London, Kentucky, licensed in Kentucky (3009263) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1558767939
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTOSHA THOMASCredential: APRN
Location Address165 LONDON MOUNTAIN VIEW DRLondon, KY 40741-6601
Mailing Address520 Techwood Dr N Ste 100Danville, KY 40422-8500 · (859) 936-9844 · Fax (859) 236-0320
Fax(606) 330-7905
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 12, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1558767939 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 KY · 3009263
Also ListedRegistered NurseTaxonomy 163W00000X · License 1123858 (KY)
165 LONDON MOUNTAIN VIEW DR, London, KY 40741

Secondary Practice Locations 5

Location 172 Willow LnLondon, KY 40744-8243 · Phone (606) 309-6447
Location 21708 Forest Dr Ste 101Corbin, KY 40701-2327 · Phone (606) 528-5000 · Fax (606) 528-5113
Location 395 Bogle Office Park DrSomerset, KY 42503-2810 · Phone (606) 677-1451 · Fax (606) 678-0814
Location 4110 Diagnostic Dr Ste BFrankfort, KY 40601-6557 · Phone (502) 227-3383 · Fax (502) 227-3387
Location 5520 Techwood Dr NDanville, KY 40422-8500 · Phone (859) 236-2203 · Fax (859) 238-2206

Other Identifiers 1

Medicaid7100344820KY

Accepted 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

Tosha Thomas Aprn 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 ID2769709047
PECOS Enrollment IDI20150325001984
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services106 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services28 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
25 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number180043
Location210 Marie Langdon DriveManchester, KY 40962 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Internal Medicine (Hematology & Oncology)
165 LONDON MOUNTAIN VIEW DR
LONDON, KY 40741
Internal Medicine (Hematology & Oncology)
165 LONDON MOUNTAIN VIEW DR
LONDON, KY 40741

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 Tosha Thomas's NPI number?

The NPI number for Tosha Thomas is 1558767939. It was assigned to this individual provider in the NPPES registry on November 12, 2014.

Where is Tosha Thomas located?

Tosha Thomas practices at 165 London Mountain View Dr, London, KY 40741. The listed phone number is (606) 330-7900.

What is Tosha Thomas's specialty?

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

Is Tosha Thomas enrolled in Medicare?

Yes. Tosha 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 Tosha Thomas accept?

Health plans from CareSource list Tosha 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 Tosha Thomas affiliated with any hospitals?

According to CMS data, Tosha Thomas is affiliated with Saint Joseph Hospital, Saint Joseph London and Manchester Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tosha Thomas was last updated on July 21, 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.