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MR. EDDY SHANE THOMAS ARNP
NPI 1609326537
Nurse Practitioner in St Augustine, FL

Active since October 04, 2016PECOS EnrolledAccepts Medicare Assignment
300 HEALTH PARK BLVD STE 4000, ST AUGUSTINE, FL 32086(904) 824-8666(904) 824-8933 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Eddy Shane Thomas Arnp NPPES

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

MR. EDDY SHANE THOMAS ARNP (NPI 1609326537) is an individual nurse practitioner in St Augustine, Florida, licensed in Florida (APRN9237428) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609326537
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. EDDY SHANE THOMASCredential: ARNP
Location Address300 HEALTH PARK BLVD STE 4000St Augustine, FL 32086-3704
Mailing AddressPo Box 100225Gainesville, FL 32610-0225 · (352) 273-8737 · Fax (352) 265-8018
Phone(904) 824-8666
Fax(904) 824-8933
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 4, 2016
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1609326537 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 FL · APRN9237428
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9237428 (FL)
300 HEALTH PARK BLVD STE 4000, St Augustine, FL 32086
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Secondary Practice Locations 2

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 273-8737 · Fax (352) 273-9154
Location 2600 E Dixie AveLeesburg, FL 34748-5925 · Phone (352) 323-5762

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Eddy Shane Thomas Arnp 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 ID9234418070
PECOS Enrollment IDI20161117002138
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eddy Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Associates Of St
Same address
Pulmonary Disease
300 HEALTH PARK BLVD STE 4000
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1801999545 (904) 824-8666
Villages Regional Hospital Physician Services LLC
0.2 mi
Urgent Care
110 HEALTH PARK BLVD
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 354 clinicians in this Medicare group
NPI 1083548861 (904) 823-3401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
331 services202 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
197 services155 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
187 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
22 services20 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
70%343 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

JESSICA SNUGGS
Nurse Practitioner (Acute Care)
300 HEALTH PARK BLVD STE 4000
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 824-8666
PULMONARY ASSOCIATES OF ST
Internal Medicine (Pulmonary Disease)
300 HEALTH PARK BLVD STE 4000
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-8666
DR. MOHAMMAD KHALID MD
Internal Medicine (Pulmonary Disease)
300 HEALTH PARK BLVD STE 4000
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 217-2148

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 Eddy Thomas's NPI number?

The NPI number for Eddy Thomas is 1609326537. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Eddy Thomas located?

Eddy Thomas practices at 300 Health Park Blvd Ste 4000, St Augustine, FL 32086. The listed phone number is (904) 824-8666.

What is Eddy Thomas's specialty?

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

Is Eddy Thomas enrolled in Medicare?

Yes. Eddy 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.

Which organizations bill Medicare for Eddy Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eddy Thomas reassigns Medicare benefits to 2 organizations: Pulmonary Associates Of St (St Augustine, FL) and Villages Regional Hospital Physician Services LLC (St Augustine, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eddy Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eddy Thomas accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Eddy 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 Eddy Thomas affiliated with any hospitals?

According to CMS data, Eddy Thomas is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Eddy Thomas was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.