ALICE D THOMAS (APRN, FNP-C) – Nurse Practitioner, NPI 1164965695

ALICE D THOMAS (APRN, FNP-C) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. AP132180 (TX). The NPI Number for ALICE D THOMAS (APRN, FNP-C) is 1164965695

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ALICE D THOMAS (APRN, FNP-C)
NPI
1164965695
Phone
(903) 595-5486
Address
1133 MEDICAL DR
Enumeration Date
1 December 2016
Last Update Date
4 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035955486
Graduation Year
2016 (10 years ago)
PAC ID
5092991240
Group Practice PAC ID
6901862242
Professional Enrollment ID
I20170202002408
Address ID
TX757012130TY1133XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

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Provider Addresses for ALICE D THOMAS (APRN, FNP-C)

  • 1133, Medical Drive, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757012130

    Phone: (903) 595-5486

    Fax: (903) 595-5128

    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 24 Open Payments records for all available years, with a total value of $710.

Total Amount is formed as General ($710) + Research ($0) + Ownership ($0) = $710.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($116).

Total Amount

$710

General + Research + Ownership

Payments

24

Total payment records

General Amount

$710

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2017-02-02

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
I20170202002408INurse PractitionerTXTBD

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
90966Home dialysis services per month (20 years or older)6529$0
99214Established patient office or other outpatient visit, 30-39 minutes2121$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)1311$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 6901862242View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nephrology, Internal MedicineOK
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
-TX

Reviews

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Frequently asked questions

Can I use this page to confirm ALICE D THOMAS (APRN, FNP-C)'s NPI?
Yes. ALICE D THOMAS (APRN, FNP-C) is listed with NPI 1164965695 in the public NPI dataset.
Is ALICE D THOMAS (APRN, FNP-C) listed as active for patients and plans?
The listing shows ALICE D THOMAS (APRN, FNP-C) as active in the NPI system.
What is ALICE D THOMAS (APRN, FNP-C)'s primary classification?
Nurse Practitioner is the headline specialty for ALICE D THOMAS (APRN, FNP-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for ALICE D THOMAS (APRN, FNP-C)?
ALICE D THOMAS (APRN, FNP-C)'s geographic hint is Tyler, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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