ANGEL DESHAWN THOMAS (FNP-BC) – Family Nurse Practitioner, NPI 1063181360

ANGEL DESHAWN THOMAS (FNP-BC) is a healthcare provider. based in Fort wayne, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 71011732A (IN). The NPI Number for ANGEL DESHAWN THOMAS (FNP-BC) is 1063181360

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ANGEL DESHAWN THOMAS (FNP-BC)
NPI
1063181360
Phone
(260) 919-5072
Address
6928 CHERBOURG DR
Enumeration Date
9 September 2021
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2608243210
Graduation Year
2021 (5 years ago)
PAC ID
6305235961
Group Practice PAC ID
1052795986
Professional Enrollment ID
I20211119001628
Address ID
IN467142503BL303XXSTXX402

Contacts

Secure Messaging
AngelThomas_88@outlook.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

Provider Addresses for ANGEL DESHAWN THOMAS (FNP-BC)

  • 6928 CHERBOURG DR

    FORT WAYNE, IN 468359364

    Phone: (260) 919-5072

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($135).

Total Amount

$135

General + Research + Ownership

Payments

2

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-11-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211119001628INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99239Hospital discharge day management, more than 30 minutes6663$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5841$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 46835)

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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: 1052795986View full group profile
NameSpecialtyState
Internal Medicine, Hospitalist, Internal MedicineSD
Physician AssistantIN
Physician AssistantIN
Internal Medicine, HospitalistIL
Nurse PractitionerIN
Internal MedicineIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is ANGEL DESHAWN THOMAS (FNP-BC) listed with a National Provider Identifier?
Yes — ANGEL DESHAWN THOMAS (FNP-BC) has NPI 1063181360 on file in the registry.
Would ANGEL DESHAWN THOMAS (FNP-BC) appear as active to a payer?
You can treat ANGEL DESHAWN THOMAS (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ANGEL DESHAWN THOMAS (FNP-BC)?
ANGEL DESHAWN THOMAS (FNP-BC)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Indiana is ANGEL DESHAWN THOMAS (FNP-BC) registered?
Use Fort Wayne, Indiana as the headline location for ANGEL DESHAWN THOMAS (FNP-BC) here.
When was this NPI issued?
Enumeration for ANGEL DESHAWN THOMAS (FNP-BC) is noted as September 9, 2021 where the registry provides it.

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