Individual provider Active NPI

Gretta Susan Thompson, NP

  • Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1306575170
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1649476 Issued in CO
Practice address
2333 N 6TH St
Grand Junction, CO 81501-2001
Phone
(970) 200-1600
Fax
(970) 697-4603
NPI assigned
Jun 7, 2022
Last updated
Feb 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1649476 CO Primary

Addresses

Primary practice location

2333 N 6TH St
Grand Junction, CO 81501-2001

Mailing address

2333 N 6TH St
Grand Junction, CO 81501-2001
Phone (970) 200-1600

Other names 1

  • Gretta Henrich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240212002660 CO Practitioner - Nurse Practitioner 7517300064 Reassigns benefits to 3 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
Marillac Clinic, Inc.Group PAC ID 1052634748, 19 clinicians

Practice addresses (Care Compare)

526 29
Grand Junction, CO 81504-5383
Phone (970) 200-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1649476COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association CurrentSince May 3, 2026 Accepting new patients
Marillac Clinic, Inc. Dba Primehealth Nurse Practitioner CurrentSince Jan 7, 2024 Accepting new patients
Lower Valley Hospital Association CurrentSince May 3, 2026 Accepting new patients
NPI 1710760343 CurrentSince Jan 7, 2024 Accepting new patients

Locations

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

2237 Redlands Pkwy
Grand Junction, CO 81507
Phone (970) 858-9894

2333 N 6th St
Grand Junction, CO 81501
Phone (970) 298-1782

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1306575170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012001",
            "telephone_number": "970-200-1600",
            "fax_number": "970-697-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N 6TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012001",
            "telephone_number": "970-200-1600",
            "fax_number": "970-697-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GRETTA",
        "middle_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "1649476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETTA",
            "last_name": "HENRICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.