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AMY MONETT-SHAMON SHOULDERS THOMAS FNP-C
NPI 1831453091
Nurse Practitioner - Family in Bolton, MS

Active since July 02, 2012PECOS Enrolled
115 W MADISON ST, BOLTON, MS 39041(601) 866-7723(601) 866-7773 Get Directions Write a Review

NPPES record last updated: September 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amy Monett-shamon Shoulders Thomas Fnp-c NPPES

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

AMY MONETT-SHAMON SHOULDERS THOMAS FNP-C (NPI 1831453091) is an individual family provider in Bolton, Mississippi, licensed in Mississippi (F0312107) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831453091
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY MONETT-SHAMON SHOULDERS THOMASCredential: FNP-C
Location Address115 W MADISON STBolton, MS 39041-3209
Mailing Address115 W Madison StBolton, MS 39041-3209 · (601) 866-7723 · Fax (601) 866-7773
Phone(601) 866-7723
Fax(601) 866-7773
Sole ProprietorYes
Enumeration DateJuly 2, 2012
Last NPPES UpdateSeptember 5, 2021
NPPES CertifiedSeptember 5, 2021
✔ NPI 1831453091 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 MS · F0312107
115 W MADISON ST, Bolton, MS 39041
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mrs. Amy Monet-shamon Thomas Fnp-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Monett-shamon Shoulders Thomas Fnp-c 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 Reassignments

2

Medicare enrollment records show Amy Shoulders Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Health Network LLC
337 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627
Signify Health, LLC
374 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Mississippi enrollment
  • 202 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 39041 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
33%36 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
14%65 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
16%25 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
5%105 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

LISA BYRD HEALTHCARE INC
Nurse Practitioner
115 W MADISON ST
BOLTON, MS 39041
Hinds County (601) 866-7723
JEAN PENNINGTON MARKS GNP-BC
Nurse Practitioner (Gerontology)
115 W MADISON ST
BOLTON, MS 39041
Hinds County (601) 866-7723
LISA BYRD HEALTHCARE INC
Nurse Practitioner (Family)
115 W MADISON ST
BOLTON, MS 39041
Hinds County (601) 866-7723
HEALTH WELLNESS PROMOTION LLC
Clinic/Center (Rural Health)
115 W MADISON ST
BOLTON, MS 39041
Hinds County (601) 866-7723

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 Amy Shoulders Thomas's NPI number?

The NPI number for Amy Shoulders Thomas is 1831453091. It was assigned to this individual provider in the NPPES registry on July 2, 2012. The provider is also known as Mrs. Amy Monet-Shamon Thomas Fnp-C.

Where is Amy Shoulders Thomas located?

Amy Shoulders Thomas practices at 115 W Madison St, Bolton, MS 39041. The listed phone number is (601) 866-7723.

What is Amy Shoulders Thomas's specialty?

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

Is Amy Shoulders Thomas enrolled in Medicare?

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

Which organizations bill Medicare for Amy Shoulders Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Shoulders Thomas reassigns Medicare benefits to 2 organizations: Community Care Health Network LLC (Nashville, TN) and Signify Health, LLC (Dallas, TX). Each 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 Amy Shoulders Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Shoulders Thomas was last updated on September 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.