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Active NPI 1447789169 Individual Practitioner Female Practitioner

Samantha Thomas , FNP-BC

Nurse Practitioner • Gillespie, IL

Professional Overview & Biography Verified Profile Summary

Samantha Thomas, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Gillespie, IL. Practice services are available at 109 E MAPLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 E Maple St

Gillespie, IL 620331473

Telephone 2178391526
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gillespie, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Gillespie, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209417465

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IL 041417465

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1174289128
Zuzana Killam

Nurse Practitioner - Psychiatric/Mental Health

NPI 1306584917
Sandra Cania

Nurse Practitioner - Psychiatric/Mental Health

NPI 1316441868
Julia Ruckman , MSW, LCSW

Social Worker - Clinical

NPI 1356599971

Master of Social Work, Licensed Clinical Social Worker

Sheri Banovic , FNP

Nurse Practitioner - Family

NPI 1376765206

Family Nurse Practitioner

Melinda Edwards , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1578065413

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address March 30, 2022

Registered at 109 E MAPLE ST, GILLESPIE, IL 620331473 (Tel: 2178391526)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2022

Nurse Practitioner (License #209417465 in IL)

NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2017

Registered at 109 E MAPLE ST, GILLESPIE, IL 620331473 (Tel: 2178391526)

📍
Updated Business Mailing Address June 20, 2017

Registered at 314 W THOMAS ST, ROXANA, IL 620841029 (Tel: 6189770611)

👤
Provider Name / Credentials Updated June 20, 2017

Recorded as SAMANTHA THOMAS, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Registered Nurse (License #041417465 in IL)

NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2017

Registered at 109 E MAPLE ST, GILLESPIE, IL 620331473 (Tel: 2178391526)

📍
Updated Business Mailing Address June 06, 2017

Registered at 314 W THOMAS ST, ROXANA, IL 620841029 (Tel: 6189770611)

👤
Provider Name / Credentials Updated June 06, 2017

Recorded as SAMANTHA THOMAS, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Registered Nurse (License #041417465 in IL)

🟢
Initial NPI Registration & Enumeration June 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1447789169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2017
Last Update: March 30, 2022
Sole Proprietor: No

Mailing Address

109 E Maple St

Gillespie, IL 620331473

Phone: 2178391526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.