Individual provider Active NPI

Kristopher Martin Thompson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Deltona, FL
National Provider Identifier
1265256606
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
38424 Issued in TN
Practice address
1941 Coble Dr
Deltona, FL 32738-8602
Phone
(407) 697-4853
NPI assigned
Nov 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 38424 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X GAA-NP004939 GA

Addresses

Primary practice location

1941 Coble Dr
Deltona, FL 32738-8602

Mailing address

1941 Coble Dr
Deltona, FL 32738-8602
Phone (407) 697-4853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250331001809 TN Practitioner - Nurse Practitioner 8224551270 Reassigns benefits to 4 organizations
I20260507001939 GA Practitioner - Nurse Practitioner 8224551270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Georgia, IncGroup PAC ID 2264539618, 13 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians
Brownsville Medical Clinic, P.a.Group PAC ID 0547339772, 61 clinicians
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians

Practice addresses (Care Compare)

2403 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4033
Phone (706) 866-7700

2565 N Washington Ave
Brownsville, TN 38012-1610

293 King Rd
Tracy City, TN 37387-4613
Phone (931) 592-8733

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38424TNMDCardiovascular Disease Physician
GAA-NP004939GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Apr 14, 2025 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC Psychiatric/Mental Health CurrentSince Apr 14, 2025 Accepting new patients
BH Services Southeast 1 PC CurrentSince May 1, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Apr 14, 2025 Accepting new patients

Locations

2403 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (423) 979-5805

1425 McFarland Ave
Rossville, GA 30741
Phone (423) 987-3702

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

Organizations & group practices 5

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1265256606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 COBLE DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327388602",
            "telephone_number": "407-697-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 COBLE DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327388602",
            "telephone_number": "407-697-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTOPHER",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "38424",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "GAA-NP004939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.