Evan Robert Thompson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NUR-APRN-LIC-159929 Issued in MT

Practice address

2825 Stockyard Rd
Missoula, MT 59808-1503

Phone

(406) 201-7142

NPI assigned

Jun 25, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Missoula, MT, CCN 270023

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethompson@direct.communitymed.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RCHP Billings - Missoula LLC

  dba Community Physician Group

  • Specialist
  • Missoula, MT
  • NPI 1376946913
  Medicare reassignment Care Compare group NPD
• Timberview Family Psychiatry, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Missoula, MT
  • NPI 1447835558
  NPD Authorized official
• RCHP Billings - Missoula LLC

  dba Community Physician Group

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1891164125
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• RCHP Billings - Missoula LLC

  dba Community Medical Center

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1346642899
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1033735063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CHEYENNE LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598028822",
            "telephone_number": "406-396-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 STOCKYARD RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081503",
            "telephone_number": "406-201-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Fort Missoula Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598047424",
            "country_code": "US",
            "telephone_number": "406-444-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EVAN",
        "middle_name": "ROBERT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-159929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie T Thomas, AGNP-C
• Mary Kathleen Thomas, CBHPSS
• Nathan B Thomas, DPM
• Franni Thomason, LPN
• Delaney Leigh Thompson, PHARMD
• James Walter Thompson IV, PCLC, LSC
• Mandi-Mae Iris Thompson, L.AC
• Sally Thompson, M.S. SLP
• Steven J Thompson, DO
• Susan Mary Thompson, PT

• Psychiatric/Mental Health Nurse Practitioner in Missoula, MT
• Providers in Missoula, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.