LISA A EVANS-THOMAS NP
NPI 1609951904
Nurse Practitioner - Adult Health in Saint Clair Shores, MI

Q: What is Lisa Evans-thomas's NPI number?

The NPI number for Lisa Evans-thomas is 1609951904. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Lisa Evans-thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Evans-thomas was last updated on June 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment

97.45/100

CMS Quality Rating

20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081(586) 771-4820(586) 771-6620 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa A Evans-thomas Np NPPES

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

LISA A EVANS-THOMAS NP (NPI 1609951904) is an individual adult health provider in Saint Clair Shores, Michigan, licensed in Michigan (4704130480) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Wayne State University School Of Medicine (2005).

NPPES Registry Identity

NPI1609951904

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLISA A EVANS-THOMASCredential: NP

Location Address20952 E 12 MILE RD, SUITE 200Saint Clair Shores, MI 48081-3200

Mailing Address20952 E 12 Mile Rd, Suite 200Saint Clair Shores, MI 48081-3200 · (586) 771-4820 · Fax (586) 771-6620

Phone(586) 771-4820

Fax(586) 771-6620

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2005

Enumeration DateOctober 26, 2006

Last NPPES UpdateJune 26, 2014

✔ NPI 1609951904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704130480

20952 E 12 MILE RD, Saint Clair Shores, MI 48081

Open in Google Maps ↗

Other Identifiers 2

OtherCB9133MI · Medicare Railroad

Medicare PIN0P12960MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Lisa A Evans-thomas Np 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 ID840420121

PECOS Enrollment IDI20140807001702

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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230020

Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

97.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier34 claims6,360 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers42 claims8,300 services$1.74 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier24 claims3,900 services$5.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

DR. STEPHEN A STUPPLER M.D.

Urology

20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081

Macomb County (586) 771-4820

HEATHER M GULISH M.S.N., C.U.N.P.

Nurse Practitioner