Individual provider Active NPI

Angel Sue Thompson, ACNP-BC

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1639425267
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704254689 Issued in MI
Practice address
900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182
Phone
(989) 583-7460
NPI assigned
Aug 1, 2012
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704254689 MI Primary
Acute Care Nurse Practitioner 363LA2100X 4704254689 MI

Addresses

Primary practice location

900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182

Mailing address

900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182
Phone (989) 583-7460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130123000547 MI Practitioner - Nurse Practitioner 7315190477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

1941 Gates St
Reese, MI 48757-9555
Phone (989) 583-5550

5400 Mackinaw Rd
Saginaw, MI 48604-9515
Phone (989) 583-5250

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-4220

900 Cooper Ave
Saginaw, MI 48602-5182

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704254689MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jan 12, 2015 Accepting new patients
Vpa PC CurrentSince Jan 12, 2015 Accepting new patients
Iah of Michigan, PLLC CurrentSince Jan 12, 2015 Accepting new patients
Covenant Medical Center, Inc CurrentSince Oct 8, 2012 Accepting new patients
Vpa PC Current Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 8, 2012 Accepting new patients

Locations

1484 Straits Dr
Ste 5
Bay City, MI 48706
Phone (989) 667-8740

2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5400 Mackinaw Rd
Saginaw, MI 48604
Phone (989) 583-5200

900 Cooper Ave
Ste 4300
Saginaw, MI 48602
Phone (989) 583-7460

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Interoperability endpoints

  • Direct secure messaging: athompson18623@direct.covenanthealthcare.com

Organizations & group practices 7

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 1

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1639425267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE STE 4300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE STE 4300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANGEL",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704254689",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704254689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.