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

Sir John Thomas

Individual provider Registered Nurse · NPI 1417832528

Sir John Thomas is a Nurse Practitioner in Springfield, Illinois. Qualified in 2025, 1 year ago. Practices with Prairie Cardiovascular Consultants Ltd, a 94-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209033075 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041417130 (IL)

Record details

NPI number1417832528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address619 E Mason St Ste 4p57, Springfield, IL 62701-1034

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prairie Cardiovascular Consultants Ltd — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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