DIANE THOMAS NP
NPI 1609290717
Nurse Practitioner - Gerontology in Saint Paul, MN

NPI Status: Active since February 10, 2014

Contact Information

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104
Phone: (651) 232-2202

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  • Individual
  • Female
  • Years of Experience 13
  • Nurse Practitioner
  • Gerontology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DIANE THOMAS

This page provides the complete NPI Profile along with additional information for Diane Thomas, a provider established in Saint Paul, Minnesota with a medical specialization in Nurse Practitioner, focusing in gerontology and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1609290717 assigned on February 2014. The practitioner's primary taxonomy code is 363LG0600X with license number 660 (MN). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1609290717
Provider Name
DIANE THOMAS NP
Gender
Female
Entity Type
Individual
Location Address
1700 UNIVERSITY AVE W SAINT PAUL, MN 55104
Location Phone
(651) 232-2202
Mailing Address
1700 UNIVERSITY AVE W SAINT PAUL, MN 55104
Mailing Phone
(651) 232-2002
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
02-10-2014
Last Update Date
08-05-2021
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A nurse practitioner (NP) like Diane Thomas is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
660
License State
MN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

0660 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1609290717OTHER (01)MNNURSE PRACTITIONER LICENSE 0660

Medicare Participation & PECOS Enrollment Status

Diane Thomas is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Diane Thomas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4688984396

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20151110000417

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    2 DME suppliers used 31 Medicare Claims 31 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, elevating leg rest, complete assembly, each (HCPCS:E0990)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    3 DME suppliers used 20 Medicare Claims 20 Services Paid

  • DME-Wheelchairs (DD000N)

    Standard wheelchair (HCPCS:K0001)

    3 DME suppliers used 54 Medicare Claims 54 Services Paid

  • DME-Wheelchairs (DD000N)

    Standard hemi (low seat) wheelchair (HCPCS:K0002)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Wheelchairs (DD000N)

    Lightweight wheelchair (HCPCS:K0003)

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Wheelchairs (DD000N)

    Heavy duty wheelchair (HCPCS:K0006)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Wheelchairs (DD021N)

    Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

    3 DME suppliers used 63 Medicare Claims 63 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up nursing facility visit per day, typically 25 minutes

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.

This service was performed 372 times for 154 patients

Follow-up nursing facility visit per day, typically 25 minutes

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.

This service was performed 33 times for 16 patients

Follow-up nursing facility visit per day, typically 35 minutes

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.

This service was performed 242 times for 172 patients

Follow-up nursing facility visit per day, typically 35 minutes

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.

This service was performed 24 times for 20 patients

Nursing facility discharge day management, 30 minutes or less

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

This service was performed 57 times for 52 patients

Nursing facility discharge management, more than 30 minutes

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.

This service was performed 100 times for 96 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $24.65 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Diane Thomas is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
M HEALTH FAIRVIEW UNIVERSITY OF MN2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
(612) 624-1765Acute Care Hospitals

Reviews for DIANE THOMAS NP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609290717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260949072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 9 + 0 + 7 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1609290717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

JANET M MORRISON RD

Dietitian, Registered

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-5757

ANN LOUISE ROSENTHAL RD, CDE

Dietitian, Registered

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-5757

MARSHA A RAMLET-HUGHES RD

Dietitian, Registered

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-5757

JOYCE C WEINHANDL RD

Dietitian, Registered

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-5757

MANAL LOYAN

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-1000

PHENG LEE

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-1000

MS. DONNA DARICE FOWLER RID - CI, CT

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-2455

SHENG K YANG

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-6177

BASRA ALI ABDULLE

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-6257

MS. JOYCE MILHOAN

Case Manager/Care Coordinator

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 326-1012

MAIKER VANG HMONG INTERPRETER

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-6257

MR. LOR ANTHONY LEE

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-6257

ANGELICA G KIPKA

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-3101

DR. JENNIFER MAY SPARROW PHARMD

Pharmacist

1700 UNIVERSITY AVE W
HEALTHEAST HOME CARE PHARMACY
SAINT PAUL, MN
ZIP 55104

(651) 232-5797

DR. KATHLEEN GORANSON PHARMD

Pharmacist

1700 UNIVERSITY AVE W
HEALTHEAST HOME INFUSION PHARMACY
SAINT PAUL, MN
ZIP 55104

(651) 232-5797

MAI BAO XIONG

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-3749

EDBAN A NOOH

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-6257

PA DAO E LOR

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-1631

MR. YO HA

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-6257

EH T LERC

Interpreter

1700 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104

(651) 232-6257

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609290717, enumerated as an "individual" on February 10, 2014.

The provider is located at 1700 UNIVERSITY AVE W SAINT PAUL, MN 55104 and the phone number is (651) 232-2202.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to verify.

Diane Thomas is affiliated with: M HEALTH FAIRVIEW UNIVERSITY OF MN.