Individual provider Active NPI

Jessi Thompson, APRN

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1295139624
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012127 Issued in DE
Practice address
5209 W Woodmill Dr Ste 35
Wilmington, DE 19808-4068
Phone
(302) 762-6675
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L1-0032609 DE
Family Nurse Practitioner 363LF0000X LG-0012127 DE Primary

Addresses

Primary practice location

5209 W Woodmill Dr Ste 35
Wilmington, DE 19808-4068

Mailing address

5209 W Woodmill Dr Ste 35
Wilmington, DE 19808-4068
Phone (302) 762-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20221207003249 DE Practitioner - Nurse Practitioner 0547639817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
It Is Well Healthcare, LLCGroup PAC ID 2961897053, 4 clinicians

Practice addresses (Care Compare)

33 Gooden Ave
Dover, DE 19904-4143
Phone (302) 678-9355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0032609DEMDSchool Registered Nurse
LG-0012127DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
It Is Well Healthcare, LLC Family CurrentSince Apr 19, 2024 Accepting new patients
Trinity Medical Associates PA CurrentSince Dec 19, 2022 Accepting new patients
Trinity Emotional Resilience Services LLC PastSince Nov 20, 2022 Accepting new patients

Locations

33 Gooden Ave
Dover, DE 19904
Phone (302) 678-9355

410 Foulk Rd
Ste 200B
Wilmington, DE 19803
Phone (302) 561-4202

5209 W Woodmill Dr
Ste 35
Wilmington, DE 19808
Phone (302) 762-6675

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17876/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1295139624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 W WOODMILL DR STE 35",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-762-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 W WOODMILL DR STE 35",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-762-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JESSI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L1-0032609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.