Individual provider Active NPI

Mitzi Monique Thompson, NP

  • Women's Health Nurse Practitioner
  • Spanish Fort, AL
National Provider Identifier
1891004834
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-090635 Issued in AL
Practice address
30500 State Highway 181 Ste 450
Spanish Fort, AL 36527-5824
Phone
(251) 626-6757
Fax
(251) 626-6758
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-090635 AL Primary

Addresses

Primary practice location

30500 State Highway 181 Ste 450
Spanish Fort, AL 36527-5824

Mailing address

30500 State Highway 181
Ste 450
Spanish Fort, AL 36527-5824
Phone (251) 990-1985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20161216000231 AL Practitioner - Nurse Practitioner 7911219308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PFCC, LLCGroup PAC ID 5698122745, 6 clinicians

Practice addresses (Care Compare)

32128 Broken Branch Cir
Daphne, AL 36527-6000
Phone (251) 626-6757

Hospital & facility affiliations

  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
93.4
Promoting interoperability
99
Improvement activities
40
Cost
61.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PFCC, LLC CurrentSince Nov 4, 2023 Accepting new patients
Kelly Lambeth CRNP LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

108 S Church St
Fairhope, AL 36532
Phone (251) 583-8408

30500 State Highway 181
Ste 450
Spanish Fort, AL 36527
Phone (251) 625-1908

32128 Broken Branch Cir
Spanish Fort, AL 36527
Phone (251) 626-6757

Interoperability endpoints

  • Direct secure messaging: mitzi.thompson.1@15695.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15695/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 4

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1891004834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 STATE HIGHWAY 181",
            "address_2": "STE 450",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275824",
            "telephone_number": "251-990-1985",
            "fax_number": "251-990-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 STATE HIGHWAY 181 STE 450",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275824",
            "telephone_number": "251-626-6757",
            "fax_number": "251-626-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MITZI",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-090635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

Verify at the official NPI Registry.