MR. JERMAINE DARIO OKANG THOMAS (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1104471416
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
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Provider Addresses for MR. JERMAINE DARIO OKANG THOMAS (AGPCNP-BC)
128;130;132;134;136;138;140;142;144;146, Library Street, Box District, Chelsea, Suffolk County, Massachusetts, 02150, United States
CHELSEA, MA 021503302
Phone:
Type: Mailing
801 ALBANY ST FL GROUND
BOSTON, MA 021192560
Phone: (617) 414-5405
Type: Mailing
801 MASSACHUSETTS AVE
2ND FL
BOSTON, MA 021180211
Phone: (617) 414-7399
Fax: (617) 414-4676
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: 2019-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191219002675 | I | Nurse Practitioner | MA | 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 |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 46 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 14 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 30 | 14 | $0 |
Insurance plans in this area (ZIP 02150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Hospitalist | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Nurse Practitioner | MA | |
| General Practice, Family Practice | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA |
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