Individual provider Active NPI

Alisha Thompson, ARNP

  • Nurse Practitioner
  • Hamburg, IA
National Provider Identifier
1710559083
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A164584 Issued in IA
Practice address
1219 Main St
Hamburg, IA 51640-1375
Phone
(712) 382-2626
Fax
(712) 382-1931
NPI assigned
Jul 15, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 A164584 IA Primary

Addresses

Primary practice location

1219 Main St
Hamburg, IA 51640-1375

Mailing address

1219 Main St
Hamburg, IA 51640-1375
Phone (712) 382-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210721002655 IA Practitioner - Nurse Practitioner 7618155466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Clinic LLCGroup PAC ID 5395634216, 8 clinicians

Practice addresses (Care Compare)

710 Ctr St
Tabor, IA 51653-2069
Phone (712) 629-2975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.97 of 100Reported as apm
Quality
34.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic LLC Current Accepting new patients
Clarinda Regional Health Center CurrentSince Jul 1, 2025 Accepting new patients
Clarinda Regional Health Center CurrentSince Jun 10, 2024 Accepting new patients
Medical Clinic LLC CurrentSince Jul 1, 2021 Accepting new patients
Medical Clinic LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

1219 Main St
Hamburg, IA 51640
Phone (712) 382-2626

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 2

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1710559083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401375",
            "telephone_number": "712-382-2626",
            "fax_number": "712-382-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401375",
            "telephone_number": "712-382-2626",
            "fax_number": "712-382-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ALISHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A164584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, IA

Sources for this page

Verify at the official NPI Registry.