Individual provider Active NPI

Jennifer Lynn Thompson

  • Emergency Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1851991541
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301513617 Issued in MI
Practice address
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone
(505) 272-3414
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.154951 OH
Emergency Medicine Physician 207P00000X 4301513617 MI Primary

Addresses

Primary practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719

Mailing address

Msc11 6025 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-5062

Other practice location 1

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250613000191 MI Practitioner - Emergency Medicine 1355721515 Reassigns benefits to 4 organizations
I20260213003148 OH Practitioner - Emergency Medicine 1355721515 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Northwest Ohio, Inc.Group PAC ID 3375456478, 102 clinicians
Vituity - Michigan Em PCGroup PAC ID 8022414010, 51 clinicians
Medical Center Emergency ServicesGroup PAC ID 0648182071, 30 clinicians
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

Hospital & facility affiliations

  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Mercy Health - Willard Hospital Hospital, Willard, OH, CCN 361310
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.154951OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Emergency Medicine CurrentSince May 13, 2025 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Vituity - Michigan Em PC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Memorial Hospital CurrentSince May 13, 2025 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Feb 7, 2026 Accepting new patients
Medical Center Emergency Services CurrentSince Jul 1, 2025 Accepting new patients
Michigan Emergency Services CurrentSince Jul 1, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

113 E Williams St
Owosso, MI 48867
Phone (989) 725-6101

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 9

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 6

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1851991541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC11 6025 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062719",
            "telephone_number": "505-272-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434522001",
            "country_code": "US",
            "telephone_number": "419-734-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.154951",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301513617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.