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SYLVIA L THOMAS
NPI 1669101564
Nurse Practitioner - Family in Youngstown, OH

Active since June 07, 2022PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-7320(330) 729-1591 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Sylvia L Thomas NPPES

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

SYLVIA L THOMAS (NPI 1669101564) is an individual family provider in Youngstown, Ohio, licensed in Ohio (APRN.CNP.0029520) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669101564
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSYLVIA L THOMAS
Location Address1044 BELMONT AVEYoungstown, OH 44504-1006
Mailing Address2356 Coronado AveYoungstown, OH 44504-1311 · (330) 881-0614
Phone(330) 480-7320
Fax(330) 729-1591
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 7, 2022
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1669101564 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 OH · APRN.CNP.0029520
1044 BELMONT AVE, Youngstown, OH 44504
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource.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

Sylvia L Thomas 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 ID941684419
PECOS Enrollment IDI20220901000569
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 3

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

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.

DR. MICHAEL ALLEN VAN WINKLE D.O
Internal Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3676
DANIEL PAUL SABO
Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-7142
JANELLE RHODES
Pharmacist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3868
DONALD HUFF RD,LD
Dietitian, Registered
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7211
SHANNA MICHELE WIRTZ AG-ACNP
Student in an Organized Health Care Education/Training Program
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (000) 000-0000
MAHONING VALLEY EMERGENCY SPECIALISTS LLC
Emergency Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (844) 474-4019
DR. JOHN K SONTICH MD
Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3990
ERIC HAYBARGER
Physical Therapist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7211

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 Sylvia Thomas's NPI number?

The NPI number for Sylvia Thomas is 1669101564. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Sylvia Thomas located?

Sylvia Thomas practices at 1044 Belmont Ave, Youngstown, OH 44504. The listed phone number is (330) 480-7320.

What is Sylvia Thomas's specialty?

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

Is Sylvia Thomas enrolled in Medicare?

Yes. Sylvia 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.

What insurance does Sylvia Thomas accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and CareSource list Sylvia 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 Sylvia Thomas affiliated with any hospitals?

According to CMS data, Sylvia Thomas is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Sylvia Thomas was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.