Individual provider Active NPI

Nicole Michelle Thompson, NP

  • Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1669668372
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5024603 Issued in NC
Practice address
642 Carpenter Ave
Mooresville, NC 28115-2538
Phone
(980) 455-0550
Fax
(855) 308-2340
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5024603 NC Primary

Addresses

Primary practice location

642 Carpenter Ave
Mooresville, NC 28115-2538

Mailing address

PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121005000256 FL Practitioner - Nurse Practitioner 0042469173 Reassigns benefits to 2 organizations
I20260625004097 NC Practitioner - Nurse Practitioner 0042469173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Ear, Nose and Throat LLCGroup PAC ID 1254680481, 9 clinicians
Lamond Family Medicine PLLCGroup PAC ID 6103802012, 49 clinicians

Practice addresses (Care Compare)

1400 NW Federal Hwy
Stuart, FL 34994-1020
Phone (772) 888-1880

1400 NW US
Suite 1
Stuart, FL 34994-1020
Phone (772) 888-1880

642 Carpenter Ave
Mooresville, NC 28115-2538
Phone (828) 651-0450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 2993372FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lamond Family Medicine, PLLC CurrentSince Jun 21, 2020 Accepting new patients
ENT and Allergy Associates of Florida, LLC CurrentSince Jun 1, 2023 Accepting new patients
Associated Coastal Ear Nose & Throat Physicians PA CurrentSince Jan 12, 2025 Accepting new patients
Independence Ear, Nose & Throat, LLC CurrentSince Aug 4, 2025 Accepting new patients
Institute for Asthma and Allergy P.C. PastSince Jun 1, 2025 Accepting new patients

Locations

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

4632 S 25th St
Fort Pierce, FL 34981
Phone (772) 464-9595

1400 NW US 1
Stuart, FL 34994
Phone (772) 888-1880

317 N King St
#A
Hendersonvlle, NC 28792
Phone (828) 693-3344

642 Carpenter Ave
Mooresville, NC 28115
Phone (704) 619-4835

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFDCD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1669668372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 CARPENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152538",
            "telephone_number": "980-455-0550",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.