Jacquline Lane Thompson, ARNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A182650 Issued in IA

Practice address

2006 N 4TH St
Suite 200
Indianola, IA 50125

Phone

(515) 461-9784

NPI assigned

Jan 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

QV Urgent Care Ia PLLCGroup PAC ID 1052722147, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquline.thompson.1@25062.direct.athenahealth.com

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.

• QV Urgent Care Ia PLLC

  • Urgent Care Clinic/Center
  • Mt. Pleasant, IA
  • NPI 1407465917

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Hy-Vee Health Exemplar Care PLC

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1780270652
  NPD
• QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Washington, IA
  • NPI 1235835950
  NPD

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1801609045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S CENTRAL AVE",
            "city": "LACONA",
            "state": "IA",
            "postal_code": "501391006",
            "telephone_number": "515-402-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N 4TH ST",
            "address_2": "SUITE 200",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "50125",
            "telephone_number": "515-461-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JACQULINE",
        "middle_name": "LANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A182650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society
• Natalie Rielle Theroux, DPT
• Thomas R. Cooney, D.D.S.
• Angela Thompson, ARNP
• Michele Tingle, DO
• TLG Associates
• Upland Transportation LLC
• Ruth Ann Vandentop, LMHC
• Jon Edwin Vernon, D.D.S.

• Family Medicine Physician in Indianola, IA
• Providers in Indianola, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.