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MRS. DOLORES MARIA THOMAS FNP
NPI 1932536125
Nurse Practitioner - Family in Cookeville, TN

Active since October 02, 2013PECOS Enrolled
215 W 6TH ST, COOKEVILLE, TN 38501(931) 783-2800 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 27, 2022, May 15, 2017, Oct 20, 2016 (3 updates tracked since 2016).

About Mrs. Dolores Maria Thomas Fnp NPPES

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

MRS. DOLORES MARIA THOMAS FNP (NPI 1932536125) is an individual family provider in Cookeville, Tennessee, licensed in Tennessee (18011) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and maintains a secondary practice location in Cookeville.

NPPES Registry Identity

NPI1932536125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DOLORES MARIA THOMASCredential: FNP
Location Address215 W 6TH STCookeville, TN 38501-1723
Mailing Address140 W 7th StCookeville, TN 38501-1726 · (931) 783-5582 · Fax (931) 526-6760
Phone(931) 783-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 2, 2013
Last NPPES UpdateMay 27, 20223 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1932536125 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 TN · 18011
215 W 6TH ST, Cookeville, TN 38501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1340 N Cedar AveCookeville, TN 38501-2421 · Phone (931) 783-5353 · Fax (931) 783-4994

Other Identifiers 3

MedicaidQ002285TN
Other6075779TN · Bcbs
Medicaid7100431460KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dolores Maria Thomas Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648407130
PECOS Enrollment IDI20150311000166
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

6

Medicare enrollment records show Dolores Thomas reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cookeville Regional Medical Group, Inc
0.1 mi
Multi-Specialty
140 W 7TH ST
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 124 clinicians in this Medicare group
NPI 1649202102 (931) 783-5582
The Grove Family Wellness LLC
8.3 mi
Primary Care
4028 S GRUNDY QUARLES HWY
Gainesboro, TN 38562
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1477319135 (931) 268-1919
Douglas Dycus
8.8 mi
Internal Medicine
3698 S GRUNDY QUARLES HWY
Gainesboro, TN 38562
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1013195106 (931) 268-3224
Crossroads Urgent Care PLLC
53 mi
Family Medicine
2445 MEMORIAL BLVD
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 310 clinicians in this Medicare group
NPI 1366644361 (615) 864-8713
Carmel Clinic Corporation
57 mi
Internal Medicine
268 VETERANS PARKWAY, SUITE F
Murfreesboro, TN 37128
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group
NPI 1588388755 (615) 624-7937
Allergy Advantage PLLC
79 mi
Allergy & Immunology
1311 W MAIN ST
Franklin, TN 37064
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group
NPI 1629608948 (615) 472-1855

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 11

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.
391 services341 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
288 services67 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
142 services69 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
134 services112 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
134 services55 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
85 services74 patients

Hospital Affiliations CMS Care Compare

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Breast Cancer Screening
28%502 patients2/55-star benchmark: 93%
Cervical Cancer Screening
6%648 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
26%57 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
50%966 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
69%418 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
12%145 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
56%145 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,427 patients4/55-star benchmark: 100%
e-Prescribing
100%1,248 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
6%714 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%2,150 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
2%1,963 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%1,778 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 78% · 1,449 patients
Patients screened: 89% · 1,449 patients
25%216 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
29%1,150 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%346 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 741 patients
Patients totalRate: 7% · 757 patients
7%757 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers44 claims85 services$5.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims20 services$0.84 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$3.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$35.35 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers20 claims5,424 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

REHABILITATION HOSPITAL OF COOKEVILLE, LLC
Rehabilitation Hospital
215 W 6TH ST
COOKEVILLE, TN 38501
Putnam County (931) 783-2800
FALWELL MEDICAL SERVICES LLC
Internal Medicine
215 W 6TH ST
COOKEVILLE, TN 38501
Putnam County (931) 783-2850
NANCY SIBLEY APRN-BC
Nurse Practitioner (Family)
215 W 6TH ST
COOKEVILLE, TN 38501
Putnam County (931) 783-2800

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 Dolores Thomas's NPI number?

The NPI number for Dolores Thomas is 1932536125. It was assigned to this individual provider in the NPPES registry on October 2, 2013.

Where is Dolores Thomas located?

Dolores Thomas practices at 215 W 6th St, Cookeville, TN 38501. The listed phone number is (931) 783-2800.

What is Dolores Thomas's specialty?

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

Is Dolores Thomas enrolled in Medicare?

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

Which organizations bill Medicare for Dolores Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolores Thomas reassigns Medicare benefits to 6 organizations: Cookeville Regional Medical Group, Inc (Cookeville, TN), The Grove Family Wellness LLC (Gainesboro, TN), Douglas Dycus (Gainesboro, TN), Crossroads Urgent Care PLLC (Murfreesboro, TN), Carmel Clinic Corporation (Murfreesboro, TN) and 1 more organization, listed in the Medicare section above. 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 Dolores Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dolores Thomas accept?

Health plans from BlueCross BlueShield of Tennessee list Dolores 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 Dolores Thomas affiliated with any hospitals?

According to CMS data, Dolores Thomas is affiliated with Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Dolores Thomas was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.