Jere Welch Thompson, APRN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06637 Issued in LA

Practice address

188 Burt Blvd
Benton, LA 71006-4900

Phone

(318) 965-5017

Fax

(318) 965-5019

NPI assigned

Jul 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benton MedicalGroup PAC ID 1456669654, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Caddo Medical Center Hospital, Vivian, LA, CCN 191304
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerethompson@ncmc.allscriptsdirect.net

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.

• Benton Medical

  • Clinic/Center
  • Benton, LA
  • NPI 1932585841

  LA

  Medicare reassignment Care Compare group NPD
• North Caddo Hospital Service District

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684

  LA

  Medicare reassignment NPD
• North Caddo Hospital Service District

  • Family Medicine Physician
  • Plain Dealing, LA
  • NPI 1477798668

  LA

  Medicare reassignment NPD
• Blanchard Medical

  • Rural Health Clinic/Center
  • Shreveport, LA
  • NPI 1760089791

  LA

  Medicare reassignment
• North Caddo Hospital Service District

  • Rural Health Clinic/Center
  • Vivian, LA
  • NPI 1013181866
  NPD
• North Caddo Medical Center Community RX

  • Community/Retail Pharmacy
  • Bossier City, LA
  • NPI 1174315584
  NPD (past)
• South Bossier Medical

  • Rural Health Clinic/Center
  • Bossier City, LA
  • NPI 1649993585
  NPD (past)

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

• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106

  Hospital

  Care Compare affiliation
• North Caddo Hospital Service District

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1366730558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 BURT BLVD",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710064900",
            "telephone_number": "318-965-5017",
            "fax_number": "318-965-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 BURT BLVD",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710064900",
            "telephone_number": "318-965-5017",
            "fax_number": "318-965-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N Forrest Rd",
            "address_purpose": "LOCATION",
            "city": "Plain Dealing",
            "state": "LA",
            "postal_code": "710644031",
            "country_code": "US",
            "telephone_number": "318-326-7272",
            "fax_number": "318-926-7282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823353",
            "country_code": "US",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5948 N Market St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711072017",
            "country_code": "US",
            "telephone_number": "318-375-0001",
            "fax_number": "318-375-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JERE",
        "middle_name": "WELCH",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164023",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/HUMANA",
            "identifier": "721501844",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta Sermon
• Anne Sinclair
• Slainte Family Clinic LLC
• Sr Benton LLC
• Ashley Parker Thompson-Gardner
• Vicki S Cobb MD & Willis-Knighton Medical Center
• Vista Vision LLC
• Walgreen Co
• Willow Creek Counseling LLC
• Kimberly Renae Wilson, OTR

• All providers in Benton, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.