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

Thomas Sisk, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1538783139

Thomas Sisk, FNP-BC is a Nurse Practitioner in San Jose, California. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in California, Florida, Iowa and South Carolina and 1 more.

Years since qualifying
6
Licensed in
CA, FL, IA, SC, WY
In the registry since
2020
Specialties on file
5
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

102 S 11th St
San Jose, CA 95112-2132
Phone: (408) 471-8368
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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 95023363 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 23962 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A167770 (IA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TPAN1361 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 50537 (WY)

Record details

NPI number1538783139
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 31, 2020
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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