DESTANEE THOMAE (APRN FNP) – Nurse Practitioner, NPI 1710792791

DESTANEE THOMAE (APRN FNP) is a healthcare provider. based in Winters, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN FNP. They hold a License No. 1190103 (TX). The NPI Number for DESTANEE THOMAE (APRN FNP) is 1710792791

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DESTANEE THOMAE (APRN FNP)
NPI
1710792791
Phone
(940) 886-6628
Address
1687 COUNTY ROAD 173
Enumeration Date
7 February 2025
Last Update Date
7 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8069028635
Graduation Year
2024 (2 years ago)
PAC ID
2163917097
Group Practice PAC ID
1658632872
Professional Enrollment ID
I20251218002066
Address ID
TX794101834LU2424XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DESTANEE THOMAE (APRN FNP)

  • 1687 COUNTY ROAD 173

    WINTERS, TX 795676609

    Phone: (940) 886-6628

    Type: Mailing

  • 4438 S CLACK ST

    ABILENE, TX 796063634

    Phone: (325) 704-4470

    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: 2025-12-18

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
I20251218002066INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79567)

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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: 1658632872View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-SD
Family PracticeNM
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the registry number for DESTANEE THOMAE (APRN FNP)?
The registry entry for DESTANEE THOMAE (APRN FNP) shows NPI 1710792791.
Is DESTANEE THOMAE (APRN FNP)'s NPI status active today?
Active status means DESTANEE THOMAE (APRN FNP)'s NPI record is not deactivated in the public file.
What services align with DESTANEE THOMAE (APRN FNP)'s listing?
DESTANEE THOMAE (APRN FNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to DESTANEE THOMAE (APRN FNP)?
DESTANEE THOMAE (APRN FNP) shows a connection to Winters, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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