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THOMAS NELSON THOMAS APRN
NPI 1831296250
Nurse Practitioner - Family in Ashland, KY

Active since September 20, 2006PECOS Enrolled
85.07/100
CMS Quality Rating
2245 WINCHESTER AVE, ASHLAND, KY 41101(606) 408-2600(606) 408-6808 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas Nelson Thomas Aprn NPPES

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

THOMAS NELSON THOMAS APRN (NPI 1831296250) is an individual family provider in Ashland, Kentucky, licensed in Kentucky (3004092) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831296250
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS NELSON THOMASCredential: APRN
Location Address2245 WINCHESTER AVEAshland, KY 41101-7848
Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-6200 · Fax (606) 408-6612
Phone(606) 408-2600
Fax(606) 408-6808
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 12, 2016
✔ NPI 1831296250 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 KY · 3004092✔ Licensed in OH · 08095-NP
2245 WINCHESTER AVE, Ashland, KY 41101
Open in Google Maps ↗

Other Identifiers 12

Medicaid78010410KY
Medicare PIN3400331KY
Medicaid2441370OH
Medicare UPINP93253
Medicaid3810016647WV
Medicare PIN0351446KY
Medicare PIN0264251KY
Medicare PIN0586619KY
Medicare PIN00722098KY
OtherP00047681KY · Rr Medicare
Medicare PIN0307647KY
Medicare PIN0632942KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Thomas Nelson Thomas Aprn 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.

Areas of Expertise CMS Part B claims 4

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, 20-29 minutes 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.
205 services187 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
38 services37 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services24 patients
New patient office or other outpatient visit, 30-44 minutes 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Other Providers at the Same Location NPPES 13

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

DR. FRANKLIN W FANNIN M.D.
Emergency Medicine
2245 WINCHESTER AVE
ASHLAND, KY 41101
Boyd County (606) 408-2600
MS. NICOLE L. WEBER-KULWICKI NP
Nurse Practitioner
2245 WINCHESTER AVE
ASHLAND, KY 41101
Boyd County (606) 408-2600
JOHN M. MOLLINEAUX
Nurse Practitioner (Family)
2245 WINCHESTER AVE
ASHLAND, KY 41101
Boyd County (606) 408-2600
RACHEL ANN CORDLE APRN
Nurse Practitioner (Family)
2245 WINCHESTER AVE
ASHLAND, KY 41101
Boyd County (606) 408-2600
MATTHEW ALLAN HENSLEY APRN
Nurse Practitioner (Family)
2245 WINCHESTER AVE
ASHLAND, KY 41101
Boyd County (606) 408-2600
RICHARD F. FORD, MD, PSC
Specialist
2245 WINCHESTER AVE, SUITE 1
ASHLAND, KY 41101
Boyd County (606) 324-2554
MR. DONALD MORRIS RAMEY JR. NURSE PRACTITIONER
Nurse Practitioner (Family)
2245 WINCHESTER AVE
ASHLAND, KY 41101
Boyd County (606) 408-4000
MS. TRACY L HUNTER CNM, WHNP
Nurse Practitioner (Women's Health)
2245 WINCHESTER AVE, SUITE 1
ASHLAND, KY 41101
Boyd County (606) 324-2554

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 Thomas Thomas's NPI number?

The NPI number for Thomas Thomas is 1831296250. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Thomas Thomas located?

Thomas Thomas practices at 2245 Winchester Ave, Ashland, KY 41101. The listed phone number is (606) 408-2600.

What is Thomas Thomas's specialty?

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

Is Thomas Thomas enrolled in Medicare?

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

What insurance does Thomas Thomas accept?

Health plans from CareSource list Thomas 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 Thomas Thomas was last updated on December 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.