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KIMBERLY K THOMAS APRN-CNP
NPI 1861059305
Nurse Practitioner - Acute Care in Columbus, OH

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
6001 E BROAD ST, COLUMBUS, OH 43213(614) 234-6000 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, Oct 24, 2023, Aug 19, 2022 and 1 more (4 updates tracked since 2019).

About Kimberly K Thomas Aprn-cnp NPPES

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

KIMBERLY K THOMAS APRN-CNP (NPI 1861059305) is an individual acute care provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.024824) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861059305
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIMBERLY K THOMASCredential: APRN-CNP
Location Address6001 E BROAD STColumbus, OH 43213-1502
Mailing Address6001 E Broad StColumbus, OH 43213-1502
Phone(614) 234-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 21, 2019
Last NPPES UpdateMay 20, 20244 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1861059305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.024824
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.335038 (OH)
6001 E BROAD ST, Columbus, OH 43213
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13400 Olentangy River RdColumbus, OH 43202-1523 · Phone (614) 754-5500 · Fax (614) 754-5501
Location 25100 W Broad StColumbus, OH 43228-1607 · Phone (614) 544-1000 · Fax (614) 754-5601
Location 32050 Kenny RdColumbus, OH 43221-3502 · Phone (614) 293-4969 · Fax (614) 293-6111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly K Thomas Aprn-cnp 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 ID1850626516
PECOS Enrollment IDI20190717002377
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 Kimberly Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
0.3 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1265627301 (614) 856-9100
Mount Carmel Healthproviders Two LLC
0.4 mi
Cardiovascular Disease
6150 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 241 clinicians in this Medicare group
NPI 1134154750 (614) 546-4400

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

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

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.

PAIGE KAPLE
Nurse Practitioner (Acute Care)
6001 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 234-6000
CINDY XIAOTONG LIU PA-C
Physician Assistant
6001 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 234-6000
MS. SHAYNA LEIGH COON PA-C
Neurological Surgery
6001 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 234-6000
DAVID F HUNT MD
Internal Medicine (Critical Care Medicine)
6001 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 234-6000
DR. SCOTT ROBERT BERLINER M.D.
Anesthesiology (Pain Medicine)
6001 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 552-0061
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION
Internal Medicine
6001 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 234-7535
CAROLYN NOELLE PARKER RN
Nurse Anesthetist, Certified Registered
6001 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 552-0089
STEPHEN CHOI PEARSON APRN
Nurse Practitioner (Acute Care)
6001 E BROAD ST
COLUMBUS, OH 43213
Franklin County (614) 234-6060

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 Kimberly Thomas's NPI number?

The NPI number for Kimberly Thomas is 1861059305. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Kimberly Thomas located?

Kimberly Thomas practices at 6001 E Broad St, Columbus, OH 43213. The listed phone number is (614) 234-6000.

What is Kimberly Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly Thomas enrolled in Medicare?

Yes. Kimberly 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.

Which organizations bill Medicare for Kimberly Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Thomas reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Mount Carmel Healthproviders Two LLC (Columbus, OH). 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 Kimberly Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Thomas accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Kimberly 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 Kimberly Thomas affiliated with any hospitals?

According to CMS data, Kimberly Thomas is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Kimberly Thomas was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.