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MARY ROSE THOMAS PMHNP
NPI 1881241123
Nurse Practitioner - Psychiatric/Mental Health in Sebastopol, MS

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment
1488 HWY 487, SEBASTOPOL, MS 39359(601) 625-7403(601) 625-7404 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2020, Aug 21, 2019 (2 updates tracked since 2019).

About Mary Rose Thomas Pmhnp NPPES

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

MARY ROSE THOMAS PMHNP (NPI 1881241123) is an individual psychiatric/mental health provider in Sebastopol, Mississippi, licensed in Mississippi (903412) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881241123
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY ROSE THOMASCredential: PMHNP
Location Address1488 HWY 487Sebastopol, MS 39359
Mailing AddressPo Box 150Sebastopol, MS 39359-0150 · (601) 625-7403 · Fax (601) 625-7404
Phone(601) 625-7403
Fax(601) 625-7404
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 21, 2019
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1881241123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 903412
1488 HWY 487, Sebastopol, MS 39359
Open in Google Maps ↗

Secondary Practice Locations 5

Location 12520 5th St NColumbus, MS 39705-2008 · Phone (662) 244-1000
Location 210330 Road 375Philadelphia, MS 39350-3249 · Phone (601) 656-0226 · Fax (601) 389-6759
Location 31100 Highway 16carthage, MS 39051 · Phone (601) 267-1100
Location 49431 Eastside Drive Ext Ste ENewton, MS 39345-8072 · Phone (601) 635-3435 · Fax (601) 635-3438
Location 5199 Rimmer StWalnut Grove, MS 39189-6586 · Phone (601) 253-2733 · Fax (601) 253-0034

Other Identifiers 1

Medicaid04387816MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. 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 and accepts Medicare assignment

Mary Rose Thomas Pmhnp 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 ID3678804309
PECOS Enrollment IDI20191011000011
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 Mary Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Central Mississippi Health Care Inc
Same address
Federally Qualified Health Center (FQHC)
1488 HWY 487
Sebastopol, MS 39359
  • Reassigned Medicare billing, Mississippi enrollment
  • 16 clinicians in this Medicare group
NPI 1699721209 (601) 625-7140

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 39359 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.

Other Providers at the Same Location NPPES 9

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

ASER M KANDIL MD
Pediatrics (Neonatal-Perinatal Medicine)
1488 HWY 487
SEBASTOPOL, MS 39359
Scott County (601) 625-7140
NICHOLAS JOHN DENNERY II D.M.D
Dentist
1488 HWY 487
SEBASTOPOL, MS 39359
Scott County (601) 625-7403
EAST CENTRAL MISSISSIPPI HEALTH CARE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1488 HWY 487
SEBASTOPOL, MS 39359
Scott County (601) 625-7140
BENITA JOETTA MYLES MD
Family Medicine
1488 HWY 487, FAMILY MEDICINE
SEBASTOPOL, MS 39359
Scott County (601) 625-7403
JOLANTA E ROSZKOWSKA MD
Internal Medicine (Geriatric Medicine)
1488 HWY 487
SEBASTOPAL, MS 39359
Scott County (601) 625-7140
MS. TELITHA K GRANT-SPENCER MD
Internal Medicine
1488 HWY 487
SEBASTOPOL, MS 39359
Scott County (601) 625-7403
DR. WHITNEY MARIE TALBERT D.M.D.
Dentist (General Practice)
1488 HWY 487
SEBASTOPOL, MS 39359
Scott County (601) 625-7403
DR. JOHN EDWIN WITCHER MD
Emergency Medicine
1488 HWY 487, SEBASTOPOL CLINIC
SEBASTOPOL, MS 39359
Scott County (601) 625-7403

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 Mary Thomas's NPI number?

The NPI number for Mary Thomas is 1881241123. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Mary Thomas located?

Mary Thomas practices at 1488 Hwy 487, Sebastopol, MS 39359. The listed phone number is (601) 625-7403.

What is Mary Thomas's specialty?

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

Is Mary Thomas enrolled in Medicare?

Yes. Mary 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 organization bills Medicare for Mary Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Thomas reassigns Medicare benefits to East Central Mississippi Health Care Inc (Sebastopol, MS). 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 Mary Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Thomas accept?

Health plans from Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Mary 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 Mary Thomas was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.