CICIMOL THOMAS APRN
NPI 1609652817
Nurse Practitioner - Family in Fort Worth, TX

Q: What is Cicimol Thomas's NPI number?

The NPI number for Cicimol Thomas is 1609652817. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Q: What is Cicimol Thomas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cicimol Thomas was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 04, 2023PECOS EnrolledAccepts Medicare Assignment

6000 BRYANT IRVIN RD, FORT WORTH, TX 76132(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cicimol Thomas Aprn NPPES

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

CICIMOL THOMAS APRN (NPI 1609652817) is an individual family provider in Fort Worth, Texas, licensed in Texas (1134263) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609652817

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCICIMOL THOMASCredential: APRN

Location Address6000 BRYANT IRVIN RDFort Worth, TX 76132-4116

Mailing Address150 Ginger CtSouthlake, TX 76092-6046 · (305) 801-6448

Phone(866) 389-2727

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 4, 2023

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1609652817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1134263

6000 BRYANT IRVIN RD, Fort Worth, TX 76132

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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

Cicimol 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 ID8224520119

PECOS Enrollment IDI20251128000413

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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Other Providers at the Same Location NPPES 13

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

MARIA SYBIL GAGLIANO FNP

Nurse Practitioner (Family)