Individual provider Active NPI

Elizabeth Thompson, PA

  • Medical Physician Assistant
  • Ada, OK
National Provider Identifier
1427389097
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2172 Issued in OK
Practice address
807 N Monte Vista St
Ada, OK 74820-7711
Phone
(580) 332-8855
Fax
(580) 332-7374
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2172 OK Primary
Physician Assistant 363A00000X PA-406 AR

Addresses

Primary practice location

807 N Monte Vista St
Ada, OK 74820-7711

Mailing address

527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286

Other practice location 1

5506 W Walsh Ln Ste 204
Rogers, AR 72758-9001
Phone (479) 250-3337

Other identifiers 1

IdentifierTypeStateIssuer
2172OtherOKOK BOARD OF MEDICAL LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20130325000271 OK Practitioner - Physician Assistant 3678600921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 Arlington St
Ada, OK 74820-4067
Phone 5809253286227

301 N Monte Vista St
Ada, OK 74820-4607
Phone (580) 436-5111

304 N Monte Vista St
Ada, OK 74820-7484
Phone (580) 436-5111

527 W 3Rd St
Konawa, OK 74849-1415
Phone 5809253286227

807 N Monte Vista St
Ada, OK 74820-7711
Phone (580) 332-8855

905 Colony Dr
Ada, OK 74820-2329
Phone (580) 436-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2172OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oklahoma Family Medical Center, Inc CurrentSince Jan 23, 2021 Accepting new patients
Central Oklahoma Family Medical Center Inc CurrentSince Jan 23, 2021 Accepting new patients

Locations

905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111

1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700

807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413

527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286

Interoperability endpoints

  • Direct secure messaging: elizabeth.thompson@cof.eclinicaldirectplus.com

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1427389097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-925-3286",
            "fax_number": "580-925-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748207711",
            "telephone_number": "580-332-8855",
            "fax_number": "580-332-7374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5506 W Walsh Ln Ste 204",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727589001",
            "country_code": "US",
            "telephone_number": "479-250-3337",
            "fax_number": "479-800-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2172",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK BOARD OF MEDICAL LICENSURE",
            "identifier": "2172",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.