MRS. DENISE NICOLE THOMAS NURSE PRACTITIONER
NPI 1821498239
Nurse Practitioner - Family in Foley, AL

Active since September 04, 2014PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1518 N MCKENZIE ST STE 400, FOLEY, AL 36535(251) 424-1130(251) 424-1131 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2023, May 13, 2020, Nov 18, 2015 (3 updates tracked since 2015).

About Mrs. Denise Nicole Thomas Nurse Practitioner NPPES

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

MRS. DENISE NICOLE THOMAS NURSE PRACTITIONER (NPI 1821498239) is an individual family provider in Foley, Alabama, licensed in Alabama (1-097601) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821498239
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DENISE NICOLE THOMASCredential: NURSE PRACTITIONER
Location Address1518 N MCKENZIE ST STE 400Foley, AL 36535-2276
Mailing Address1518 N Mckenzie St Ste 400Foley, AL 36535-2276 · (251) 424-1130 · Fax (251) 424-1131
Fax(251) 424-1131
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 4, 2014
Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
NPI 1821498239 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
Licenses Licensed in AL · 1-097601 Licensed in AL · F0714330
1518 N MCKENZIE ST STE 400, Foley, AL 36535

Secondary Practice Locations 2

Location 11625 N Alston StFoley, AL 36535-2208 · Phone (251) 970-1954 · Fax (251) 970-1960
Location 21711 N McKenzie St Ste 201Foley, AL 36535-2282 · Phone (251) 949-3842 · Fax (251) 949-3813

Accepted 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

Mrs. Denise Nicole Thomas Nurse Practitioner 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 ID7719108448
PECOS Enrollment IDI20150504002058
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
299 services263 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
200 services178 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36535 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Gastroenterology)
1518 N MCKENZIE ST STE 400
FOLEY, AL 36535
Nurse Practitioner (Gerontology)
1518 N MCKENZIE ST STE 400
FOLEY, AL 36535
Internal Medicine (Gastroenterology)
1518 N MCKENZIE ST STE 400
FOLEY, AL 36535

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 Denise Thomas's NPI number?

The NPI number for Denise Thomas is 1821498239. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Where is Denise Thomas located?

Denise Thomas practices at 1518 N Mckenzie St Ste 400, Foley, AL 36535. The listed phone number is (251) 424-1130.

What is Denise Thomas's specialty?

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

Is Denise Thomas enrolled in Medicare?

Yes. Denise 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 Denise Thomas accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Denise 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 Denise Thomas was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.