Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adria Felice Thomas, AGNP-C

Individual provider Ambulatory Care Registered Nurse · NPI 1962971796

Adria Felice Thomas, AGNP-C is a Nurse Practitioner in Medford, Oregon. Qualified in 2019, 7 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2900 State St Ste 101
Medford, OR 97504-8458
Phone: (541) 789-5761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 202001351NP-PP (OR)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 201506695RN (OR)

Record details

NPI number1962971796
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedNovember 22, 2018
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medford