Individual provider Active NPI

Charlotte Louise Thompson, AGNP-C

  • Adult Health Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1538614946
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NUR-APRN-LIC-148884 Issued in MT
Practice address
931 Highland Blvd Ste 3210
Bozeman, MT 59715-6912
Phone
(406) 414-2410
NPI assigned
Aug 16, 2016
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 247322 NC
Family Nurse Practitioner 363LF0000X THOM-N0SC84 NC
Adult Health Nurse Practitioner 363LA2200X NUR-APRN-LIC-148884 MT Primary

Addresses

Primary practice location

931 Highland Blvd Ste 3210
Bozeman, MT 59715-6912

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6999
Phone (406) 414-5000

Other practice location 1

1515 SW Cary Pkwy
REX Healthcare of Cary, Suite 200
Cary, NC 27511-6224
Phone (919) 387-3176

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cthompson15468346@direct.sanfordhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20200421001664 MT Practitioner - Nurse Practitioner 3971882507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

931 Highland Blvd
Suite 3210
Bozeman, MT 59715-6912
Phone (406) 414-2410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-148884MTMDAdult Health Nurse Practitioner
247322NCMDFamily Nurse Practitioner
THOM-N0SC84NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jun 1, 2020 Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jun 1, 2020 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3210
Bozeman, MT 59715
Phone (406) 414-2410

Interoperability endpoints

  • Direct secure messaging: cthompson15468346@direct.sanfordhealth.org

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1538614946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156999",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD STE 3210",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156912",
            "telephone_number": "406-414-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 SW Cary Pkwy",
            "address_2": "REX Healthcare of Cary, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116224",
            "country_code": "US",
            "telephone_number": "919-387-3176",
            "fax_number": "919-387-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHARLOTTE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "247322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "THOM-N0SC84",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-148884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cthompson15468346@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "931 Highland Blvd Ste 3210",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.