Individual provider Active NPI

Jamie Lynn Thompson, CRNP

  • Family Nurse Practitioner
  • Kittanning, PA
National Provider Identifier
1285309880
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024242 Issued in PA
Practice address
1 Nolte Dr
Kittanning, PA 16201-7111
Phone
(724) 543-8141
NPI assigned
Aug 16, 2021
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024242 PA Primary

Addresses

Primary practice location

1 Nolte Dr
Kittanning, PA 16201-7111

Mailing address

630 Croyland Ave
Indiana, PA 15701-1850
Phone (724) 464-7791

Other practice location 1

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7121

Other practice location 2

25 Colony Blvd
Blairsville, PA 15717-7971
Phone (724) 459-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230302000237 PA Practitioner - Nurse Practitioner 2961875588 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irmc - Premier LLCGroup PAC ID 2567949407, 13 clinicians
Indiana Regional Medical CenterGroup PAC ID 6800791187, 11 clinicians

Practice addresses (Care Compare)

2128 Oakland Ave
Indiana, PA 15701-3384
Phone (724) 349-4362

216 Glessner St
Ligonier, PA 15658-1271
Phone (724) 995-8012

25 Colony Blvd
Blairsville, PA 15717-7971
Phone (724) 549-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024242PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Armstrong County, LTD. CurrentSince Apr 23, 2023 Accepting new patients
Irmc - Premier LLC CurrentSince Dec 27, 2025 Accepting new patients
Indiana Regional Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Indiana Regional Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Indiana Regional Medical Center Current Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Oct 12, 2024 Accepting new patients
Irmc Urgicare at Indiana CurrentSince Oct 12, 2024 Accepting new patients
Ahn Emergency Group of Indiana County, LTD CurrentSince Sep 21, 2023 Accepting new patients
Premier Express Care LLC CurrentSince May 27, 2025 Accepting new patients
Icare Medical PastSince Aug 1, 2021 Accepting new patients

Locations

25 Colony Blvd
Blairsville, PA 15717
Phone (724) 388-3814

2128 Oakland Ave
Indiana, PA 15701
Phone (724) 349-2276

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

216 Glessner St
Ligonier, PA 15658
Phone (724) 995-8012

Organizations & group practices 10

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1285309880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CROYLAND AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011850",
            "telephone_number": "724-464-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-543-8141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013629",
            "country_code": "US",
            "telephone_number": "724-357-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Colony Blvd",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "PA",
            "postal_code": "157177971",
            "country_code": "US",
            "telephone_number": "724-459-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.