MS. KENISHA VONCILLE THOMAS (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1609359165
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MS. KENISHA VONCILLE THOMAS (NURSE PRACTITIONER)
107 Medical Cir
Sulphur Springs, TX 754822138
Phone: (903) 885-1770
Type: Location
1485 W Warm Springs Rd Ste 109B
Henderson, NV 890147632
Phone: (725) 230-7765
Fax: (763) 402-7649
Type: Location
1140 N State St
Saint Ignace, MI 497811048
Phone: (303) 390-1940
Type: Location
West Sunset Road, Midway City, Henderson, Clark County, Nevada, 89016, United States
HENDERSON, NV 89014
Phone: (702) 482-9980
Type: Location
469, North Green Valley Parkway, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States
HENDERSON, NV 890142120
Phone: (504) 610-5194
Type: Mailing
2117 VETERANS MEMORIAL BLVD # 201
METAIRIE, LA 700026321
Phone: (504) 610-5194
Type: Mailing
5825 MAGAZINE ST
NEW ORLEANS, LA 701153218
Phone: (504) 583-3230
Fax: (763) 402-7649
Type: Location
1485 W WARM SPRINGS RD
HENDERSON, NV 890147631
Phone: (702) 482-9980
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: 2026-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20181214001982 | I | Nurse Practitioner | CA | TBD |
| I20220726000410 | I | Nurse Practitioner | LA | TBD |
| I20240918000950 | I | Nurse Practitioner | TX | TBD |
| I20260204001220 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75482)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | LA | |
| Internal Medicine, Hospitalist | NJ | |
| Internal Medicine | PA | |
| Nurse Practitioner | LA | |
| Family Practice | LA | |
| Internal Medicine, Hospitalist, Internal Medicine | TX | |
| Hospitalist, Internal Medicine, Internal Medicine, Emergency Medicine | MO | |
| Hospitalist, Hospitalist, Internal Medicine | NY | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | NY | |
| Nurse Practitioner | LA |
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