NIRMALA THOMAS CRNP
NPI 1639651680
Nurse Practitioner - Primary Care in Crofton, MD

Active since September 05, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2131 DAVIDSONVILLE RD, CROFTON, MD 21114(410) 507-7617 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2022, Sep 5, 2018 (2 updates tracked since 2018).

About Nirmala Thomas Crnp NPPES

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

NIRMALA THOMAS CRNP (NPI 1639651680) is an individual primary care provider in Crofton, Maryland, licensed in Maryland (R156644) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Annapolis, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639651680
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNIRMALA THOMASCredential: CRNP
Location Address2131 DAVIDSONVILLE RDCrofton, MD 21114-1632
Mailing Address8316 Canyon Oak DrSevern, MD 21144-6811 · (240) 463-0239
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 5, 2018
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1639651680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MD · R156644
2131 DAVIDSONVILLE RD, Crofton, MD 21114

Secondary Practice Location 1

Location 12001 Medical PkwyAnnapolis, MD 21401-3773 · Phone (240) 463-0239

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

Nirmala Thomas Crnp 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 ID1759626179
PECOS Enrollment IDI20181213000017
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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
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.
1,263 services262 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
760 services201 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
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.
499 services250 patients
Nursing facility discharge management, more than 30 minutes 99316
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.
133 services129 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
58 services28 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
43 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21114 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 16

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers15 claims15 services$39.08 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers12 claims12 services$40.96 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
6 suppliers56 claims56 services$36.40 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$42.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$15.05 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers19 claims19 services$34.31 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 20

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

Occupational Therapy Assistant
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Internal Medicine
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Skilled Nursing Facility
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Nurse Practitioner
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Internal Medicine
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Occupational Therapy Assistant
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2131 DAVIDSONVILLE RD
CROFTON, MD 21114
Speech-Language Pathologist
2131 DAVIDSONVILLE RD
CROFTON, MD 21114

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 Nirmala Thomas's NPI number?

The NPI number for Nirmala Thomas is 1639651680. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Nirmala Thomas located?

Nirmala Thomas practices at 2131 Davidsonville Rd, Crofton, MD 21114. The listed phone number is (410) 507-7617.

What is Nirmala Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nirmala Thomas enrolled in Medicare?

Yes. Nirmala 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.

When was this NPI record last updated?

The NPPES record for Nirmala Thomas was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.