Individual provider Active NPI

Elaine Mary Thompson, DNP, CNM, FNP-BC

  • Advanced Practice Midwife
  • Mount Pleasant, UT
National Provider Identifier
1700454220
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
500988-4402 Issued in UT
Practice address
1100 S Medical Dr
Mount Pleasant, UT 84647-2222
Phone
(435) 462-3471
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 500988-3102 UT
Advanced Practice Midwife 367A00000X 500988-4402 UT Primary
Family Nurse Practitioner 363LF0000X 500988-4405 UT

Addresses

Primary practice location

1100 S Medical Dr
Mount Pleasant, UT 84647-2222

Mailing address

11021 E 16000 N
Mount Pleasant, UT 84647-5651
Phone (801) 367-6296

Other names 1

  • Elaine Mary McCormick Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026000926 UT Practitioner - Certified Nurse Midwife (CNM) 9335515766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1100 S Medical Dr
Mt Pleasant, UT 84647-2222
Phone (435) 462-3471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
500988-3102UTMDRegistered Nurse
500988-4405UTMDFamily Nurse Practitioner
500988-4402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 7, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

525 N Main St
Ephraim, UT 84627
Phone (435) 283-4075

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

159 N Main St
#1
Manti, UT 84642

159 N Main St
Manti, UT 84642
Phone (435) 835-3344

1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441

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.

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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1700454220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 E 16000 N",
            "city": "MOUNT PLEASANT",
            "state": "UT",
            "postal_code": "846475651",
            "telephone_number": "801-367-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MEDICAL DR",
            "city": "MOUNT PLEASANT",
            "state": "UT",
            "postal_code": "846472222",
            "telephone_number": "435-462-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "DNP, CNM, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "500988-3102",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "500988-4402",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "500988-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "MCCORMICK",
            "middle_name": "MARY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Pleasant, UT

Sources for this page

Verify at the official NPI Registry.