Penny L Thompson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704141434 Issued in MI

Practice address

9751 E Grand River Ave
Portland, MI 48875-9774

Phone

(517) 647-6722

Fax

(517) 647-6838

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Saginaw Chippewa Indian Tribe

  • General Practice Physician
  • Mt Pleasant, MI
  • NPI 1649368457

  MI

  Medicare reassignment Care Compare group NPD
• American Ambulatory Physicians PLLC

  • Family Medicine Physician
  • Hartland, MI
  • NPI 1891052726

  MI

  Medicare reassignment NPD
• Sparrow Ionia Hospital

  • Critical Access Hospital
  • Ionia, MI
  • NPI 1700820065

  MI

  Medicare reassignment NPD
• Springfield Urgent Care, P.L.L.C.

  • Urgent Care Clinic/Center
  • Clarkston, MI
  • NPI 1144747460

  MI

  Medicare reassignment NPD
• Saginaw Chippewa Indian Tribe

  • Mental Health Counselor
  • Mount Pleasant, MI
  • NPI 1013041698
  Care Compare group NPD
• American Ambulatory Physicians

  • Urgent Care Clinic/Center
  • Hartland, MI
  • NPI 1437407483
  NPD
• Sparrow Ionia Hospital

  • Family Medicine Physician
  • Ionia, MI
  • NPI 1033271143
  NPD
• Sparrow Ionia Hospital

  • Rural Health Clinic/Center
  • Portland, MI
  • NPI 1295801108
  NPD
• Mid-Michigan Physicians, PC

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1841234457

  Nurse Practitioner

  NPD (past)

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

• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saginaw Chippewa Indian Tribe 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1144250267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-253-6320",
            "fax_number": "517-253-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759774",
            "telephone_number": "517-647-6722",
            "fax_number": "517-647-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3413 Woods Edge Dr",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643707",
            "country_code": "US",
            "telephone_number": "517-349-3303",
            "fax_number": "517-349-4374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PENNY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704141434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4579202",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sparrow Ionia Hospital
• Gloria Lorene Standley
• Suzanne R. Maystead O.D.
• Teri'S Home Help, LLC
• Morgan Alexandra Thelen, DDS
• Tom'S Pharmacy LLC
• Tru Dental Michigan PC
• Two Rivers Counseling&Consulting, P.C.
• Russell W Willemin, D.C.
• Williamson Chiropractic PLC

• All providers in Portland, MI
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.