Individual provider Active NPI

Scott Vernile Thompson, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1154869063
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10489 Issued in AZ
Practice address
10032 E Southern Ave
Mesa, AZ 85209-2759
Phone
(480) 351-2850
NPI assigned
Feb 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 171826 AZ
Family Nurse Practitioner 363LF0000X AP10489 AZ Primary

Addresses

Primary practice location

10032 E Southern Ave
Mesa, AZ 85209-2759

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other practice location 1

2668 E Covina St
Mesa, AZ 85213-7741
Phone (480) 789-0291

Other practice location 2

44572 W Bowlin Rd
Maricopa, AZ 85138-4558
Phone (520) 568-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170921003498 AZ Practitioner - Nurse Practitioner 2769756261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian S Page DO PLLCGroup PAC ID 4880787589, 18 clinicians
Sun Life Family Health Center IncGroup PAC ID 9335032275, 46 clinicians

Practice addresses (Care Compare)

3035 S Ellsworth Rd
Suite 135
Mesa, AZ 85212-2162
Phone (623) 466-6350

44572 W Bowlin Rd
Maricopa, AZ 85138-4558
Phone (520) 568-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
171826AZMDFamily Nurse Practitioner
AP10489AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Life Family Health Center, Inc. CurrentSince Aug 31, 2020 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Aug 31, 2020 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients

Locations

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

1864 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 381-0320

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

10032 E Southern Ave
Mesa, AZ 85209
Phone (480) 339-2853

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1154869063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092759",
            "telephone_number": "480-351-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2668 E Covina St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852137741",
            "country_code": "US",
            "telephone_number": "480-789-0291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44572 W Bowlin Rd",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851384558",
            "country_code": "US",
            "telephone_number": "520-568-2245",
            "fax_number": "520-568-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SCOTT",
        "middle_name": "VERNILE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "171826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.