Active NPI
Tracy Thompson, APRN
- Family Nurse Practitioner
- Jonesboro, AR
National Provider Identifier
1831610765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005231
- Practice address
- 1007 E Matthews Ave
Jonesboro, AR 72401-4308 - Phone
- (870) 336-0472
- Fax
- (870) 336-5320
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005231 | AR | Primary |
Addresses
Primary practice location
1007 E Matthews Ave
Jonesboro, AR 72401-4308
Mailing address
1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472
Hospital & facility affiliations
- St Bernards Medical Center
- Crossridge Community Hospital
- St Bernards Five Rivers Medical Center
- White River Medical Center
- Lawrence Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005231 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics, Inc. | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients |
Locations
1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242
1007 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 336-0472
Interoperability endpoints
- tlthompson@sbpc.medalliesdirect.net
Organizations & group practices 3
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.
-
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1780546051
-
- Dermatology Physician
- Jonesboro, AR
- NPI 1447958855
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pocahontas, AR
- NPI 1528360989
-
- Critical Access Hospital
- Walnut Ridge, AR
- NPI 1194724658
-
- Critical Access Hospital
- Wynne, AR
- NPI 1962410183
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
-
- Orthopaedic Surgery Physician
- Batesville, AR
- NPI 1265821193
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1831610765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014308",
"telephone_number": "870-336-0472",
"fax_number": "870-336-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014308",
"telephone_number": "870-336-0472",
"fax_number": "870-336-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TRACY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.