LISA A EVANS-THOMAS (NP) – Adult Health Nurse Practitioner, NPI 1609951904

LISA A EVANS-THOMAS (NP) is a healthcare provider. based in Saint clair shores, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704130480 (MI). The NPI Number for LISA A EVANS-THOMAS (NP) is 1609951904

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LISA A EVANS-THOMAS (NP)
NPI
1609951904
Phone
(586) 771-4820
Address
20952 E 12 MILE RD
Enumeration Date
26 October 2006
Last Update Date
26 June 2014

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5867714820
Graduation Year
2005 (21 years ago)
PAC ID
0840420121
Group Practice PAC ID
1052223492
Professional Enrollment ID
I20140807001702
Address ID
MI480813203SA20952RDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for LISA A EVANS-THOMAS (NP)

  • East 12 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48081, United States

    SUITE 200

    SAINT CLAIR SHORES, MI 480813200

    Phone: (586) 771-4820

    Fax: (586) 771-6620

    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 18 Open Payments records for all available years, with a total value of $945.

Total Amount is formed as General ($945) + Research ($0) + Ownership ($0) = $945.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($302).

Total Amount

$945

General + Research + Ownership

Payments

18

Total payment records

General Amount

$945

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2014-08-07

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
I20140807001702INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 48081)

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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: 1052223492View full group profile
NameSpecialtyState
U R O L O G YMI
U R O L O G YMI
U R O L O G YOK
Radiation OncologyFL
Nurse PractitionerMI
U R O L O G YMI
U R O L O G YMI
U R O L O G YMI
Physical Therapist In Private PracticeMI
U R O L O G YMI

Reviews

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Frequently asked questions

Can I verify LISA A EVANS-THOMAS (NP) with an NPI only?
You can start verification with NPI 1609951904 for LISA A EVANS-THOMAS (NP), then check state licensing separately.
Can I rely on LISA A EVANS-THOMAS (NP) being an active provider?
As of the registry snapshot, LISA A EVANS-THOMAS (NP) is marked active.
What is LISA A EVANS-THOMAS (NP)'s specialty?
The listing groups LISA A EVANS-THOMAS (NP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LISA A EVANS-THOMAS (NP) based?
LISA A EVANS-THOMAS (NP) is tied to Saint Clair Shores, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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