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

Ethan Lee Thomas, FNP-C

Individual provider Family Nurse Practitioner · NPI 1063017432

Ethan Lee Thomas, FNP-C is a Nurse Practitioner in Grand Forks, North Dakota. Graduated from University of North Dakota School of Medicine in 2020, 6 years ago. Practices with Altru Health System, a 667-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
6
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4440 S Washington St
Grand Forks, ND 58201
Phone: (701) 732-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R40656 (ND)

Record details

NPI number1063017432
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Forks