Individual provider Active NPI

Marie Nicole Thompson, CNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1609298280
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15194-NP Issued in OH
Practice address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone
(833) 351-8255
Fax
(888) 815-3583
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 COA.15194-NP OH Primary
Registered Nurse 163W00000X COA 15194-NP OH
Registered Nurse 163W00000X RN 352603 COA1 OH

Addresses

Primary practice location

109 W 27TH St RM 5S
New York, NY 10001-6208

Mailing address

12395 McCracken Rd
Garfield Heights, OH 44125-2967
Phone (216) 587-6727

Other practice location 1

300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone (833) 351-8255

Other practice location 2

1500 K Street, 2nd Floor (Private Office TT-258)
Washington, DC 20005
Phone (833) 351-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140523000418 OH Practitioner - Nurse Practitioner 7719118561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians
Rakesh Ranjan M.D. and Assoc., IncGroup PAC ID 6507895067, 22 clinicians

Practice addresses (Care Compare)

1 W Winter St
Suite 200
Delaware, OH 43015-4635
Phone (833) 351-8255

801 E Washington St
Suite 150
Medina, OH 44256-3336
Phone 21658767273402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15194OHMDGeneral Practice Dentistry
COA 15194-NPOHMDRegistered Nurse
RN 352603 COA1OHMDRegistered Nurse
COA.15194-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan M.D. & Assoc., Inc. CurrentSince May 3, 2017 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince May 3, 2017 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Nov 1, 2025 Accepting new patients
Kelli Anne Chamberlain Past Accepting new patients

Locations

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 613-2977

1 W Winter St
Ste 200
Delaware, OH 43015
Phone (513) 828-0285

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1609298280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-587-6727",
            "fax_number": "216-587-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Baker Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422124",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 K Street, 2nd Floor (Private Office TT-258)",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20005",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARIE",
        "middle_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15194-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "COA 15194-NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 352603 COA1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.