MARY THOMAS – Family Nurse Practitioner, NPI 1215731161

Family Nurse Practitioner

MARY THOMAS is a healthcare provider. based in Morton grove, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209031558 (IL). The NPI Number for MARY THOMAS is 1215731161

Main info

Female

2 Years Of Experience

Name

MARY THOMAS

NPI

1215731161

Phone

(312) 607-5181

Address

8906 MAJOR AVE

Enumeration Date

1 April 2025

Last Update Date

1 April 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3124930444

Graduation Year

2024 (2 years ago)

PAC ID

6305357823

Group Practice PAC ID

1254827017

Professional Enrollment ID

I20250612002902

Address ID

IL600681351PA1480XDRXX301

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness75

Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MARY THOMAS

8906 MAJOR AVE
MORTON GROVE, IL 600532532
Phone: (312) 607-5181
Type: Mailing
950 MILWAUKEE AVE STE 236
GLENVIEW, IL 600253778
Phone: (224) 717-6106
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-12

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

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
I20250612002902	I	Nurse Practitioner	IL	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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60053)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1254827017View full group profile