Individual provider Active NPI

Angelle Brooks Thompson, CNP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1275167686
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP30778 Issued in PA
Practice address
1648 Hamilton St
Allentown, PA 18102-5054
Phone
(610) 628-8038
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP30778 PA Primary
Family Nurse Practitioner 363LF0000X 5019834 NC
Family Nurse Practitioner 363LF0000X 12391 MN
Family Nurse Practitioner 363LF0000X 209254 LA
Family Nurse Practitioner 363LF0000X 1104384 TX
Family Nurse Practitioner 363LF0000X 26NJ15426200 NJ
Nurse Practitioner 363L00000X 36211 TN

Addresses

Primary practice location

1648 Hamilton St
Allentown, PA 18102-5054

Mailing address

1648 Hamilton St
Allentown, PA 18102-5054
Phone (610) 628-8038

Other practice location 1

122 W 4th St
Dequincy, LA 70633-3508
Phone (337) 494-3278

Other practice location 2

913 E Kent Dr
Sulphur, LA 70663-5007
Phone (337) 527-3610

Other practice location 3

17350 State Highway 249 Ste 220
Houston, TX 77064-1132
Phone (832) 660-9060

Other practice location 4

109 W 4th St
Deridder, LA 70634-4849
Phone (337) 494-3278

Other practice location 5

1717 Oak Park Blvd Fl 2
Lake Charles, LA 70601-8990
Phone (337) 494-3278

Other identifiers 2

IdentifierTypeStateIssuer
2570714MedicaidLA
209254OtherLASTATE LICENSE

Other names 1

  • Angelle Auset Brooks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, PA2 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
I20200406000870 LA Practitioner - Nurse Practitioner 9739518168 Reassigns benefits to 3 organizations
I20251002001911 PA Practitioner - Nurse Practitioner 9739518168 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36211TNMDFamily Medicine Physician
209254LAMDFamily Nurse Practitioner
12391MNMDFamily Nurse Practitioner
5019834NCMDFamily Nurse Practitioner
26NJ15426200NJMDFamily Nurse Practitioner
SP30778PAMDFamily Nurse Practitioner
1104384TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Jan 1, 2020 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 8, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 8, 2025 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Nov 1, 2021 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Nov 1, 2021 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Gslpg, Inc CurrentSince Sep 8, 2025 Accepting new patients
Lake Charles Memorial Heart and Vascular Center CurrentSince Nov 1, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Cardiovascular Specialists of Southwest Louisiana, LLC Past Accepting new patients

Locations

122 W 4th St
Dequincy, LA 70633
Phone (337) 401-4920

109 W 4th St
Deridder, LA 70634
Phone (337) 221-3004

1322 Elton Rd
Ste E
Jennings, LA 70546
Phone (337) 783-5559

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

2640 Country Club Rd
Lake Charles, LA 70605
Phone (337) 426-0919

1717 Oak Park Blvd
Fl 2
Lake Charles, LA 70601
Phone (337) 474-5092

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000

913 E Kent Dr
Sulphur, LA 70663
Phone (337) 494-3278

1648 Hamilton St
Allentown, PA 18102
Phone (610) 628-8038

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

17 W Broad St
Unit 2
Tamaqua, PA 18252
Phone (570) 668-5650

Interoperability endpoints

  • Direct secure messaging: athompson5281951@direct.casso.us.com

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group Inc 2,161 clinicians
Lake Charles Memorial Heart and Vascular Center 15 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1425 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 526-2229

1469 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 503-8281

1717 Oak Park Blvd
FL 2
Lake Charles, LA 70601-8990
Phone (337) 494-3278

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1275167686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181025054",
            "telephone_number": "610-628-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181025054",
            "telephone_number": "610-628-8038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Dequincy",
            "state": "LA",
            "postal_code": "706333508",
            "country_code": "US",
            "telephone_number": "337-494-3278",
            "fax_number": "337-494-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 E Kent Dr",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706635007",
            "country_code": "US",
            "telephone_number": "337-527-3610",
            "fax_number": "337-527-6063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17350 State Highway 249 Ste 220",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770641132",
            "country_code": "US",
            "telephone_number": "832-660-9060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Deridder",
            "state": "LA",
            "postal_code": "706344849",
            "country_code": "US",
            "telephone_number": "337-494-3278",
            "fax_number": "337-494-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Oak Park Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018990",
            "country_code": "US",
            "telephone_number": "337-494-3278",
            "fax_number": "337-494-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANGELLE",
        "middle_name": "BROOKS",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP30778",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019834",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12391",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "209254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1104384",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15426200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "36211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2570714",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELLE",
            "last_name": "BROOKS",
            "middle_name": "AUSET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.