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

Ian Andrew Thomas, FNP

Individual provider Family Nurse Practitioner · NPI 1003635921

Ian Andrew Thomas, FNP is a Nurse Practitioner in Roseburg, Oregon. Qualified in 2024, 2 years ago. Practices with Centennial Medical Group Inc, a 61-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2460 NW Stewart Pkwy Ste 100
Roseburg, OR 97471
Phone: (541) 229-2663
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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 10033676 (OR)

Record details

NPI number1003635921
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 4, 2024
Mailing address2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Centennial Medical Group Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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