EDDY SHANE THOMAS (ARNP) – Acute Care Nurse Practitioner, NPI 1609326537
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for EDDY SHANE THOMAS (ARNP)
1154 EARLYLIGHT CT
JACKSONVILLE, FL 32218
Phone: (904) 305-7492
Type: Mailing
300 HEALTH PARK BLVD STE 4000
ST AUGUSTINE, FL 320863704
Phone: (904) 824-8666
Fax: (904) 824-8933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: ICU Medical Inc ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ICU Medical Inc | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161117002138 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 170 | 139 | $0 |
| 99292 | Critical care, each additional 30 minutes | 64 | 40 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 59 | 51 | $0 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 21 | 21 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 21 | 21 | $0 |
Insurance plans in this area (ZIP 32218)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Physician Assistant | FL | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | NY | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Internal Medicine, Pulmonary Disease | FL | |
| Nurse Practitioner | FL | |
| Pulmonary Disease | FL | |
| Nurse Practitioner | FL |
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