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MS. ROBERTA LYNNE THOMAS PHD, RN, NP
NPI 1740528165
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI

Active since January 18, 2013PECOS Enrolled
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 281-6315(616) 455-5370 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Roberta Lynne Thomas Phd, Rn, Np NPPES

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

MS. ROBERTA LYNNE THOMAS PHD, RN, NP (NPI 1740528165) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (4704213427) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740528165
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. ROBERTA LYNNE THOMASCredential: PHD, RN, NP
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000 · Fax (616) 455-5960
Phone(616) 281-6315
Fax(616) 455-5370
Sole ProprietorNo
Enumeration DateJanuary 18, 2013
Last NPPES UpdateDecember 18, 2013
✔ NPI 1740528165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704213427
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704213427 (MI)
300 68TH ST SE, Grand Rapids, MI 49548
Open in Google Maps ↗

Other Identifiers 1

Medicare PINM87980023MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Ms. Roberta Lynne Thomas Phd, Rn, Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Roberta Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Rest Christian Mental Health Services
Same address
Nurse Practitioner
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 41 clinicians in this Medicare group
NPI 1467463604 (616) 455-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

JILLIAN LEIGH MURRAY L.C.S.W
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
CANDY MCKENNEY
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
TAO CHANCE BROWN-EDWARDS
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. REBECCA JOY BACK LMSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (269) 929-7342
SARA RENE QUASHNIE LLMSW
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
KIMERA RAIN HARRIS
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500
AMY LOUISE MCGAREY MSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
JUNE BUIKEMA-TEBEAU
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000

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 Roberta Thomas's NPI number?

The NPI number for Roberta Thomas is 1740528165. It was assigned to this individual provider in the NPPES registry on January 18, 2013.

Where is Roberta Thomas located?

Roberta Thomas practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 281-6315.

What is Roberta Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roberta Thomas enrolled in Medicare?

Yes. Roberta Thomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roberta Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Thomas reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The 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 Roberta Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberta Thomas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Roberta 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.

When was this NPI record last updated?

The NPPES record for Roberta Thomas was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.