NPIMap

Individual provider Active NPI

Michael Thompson, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1902847130
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004729 Issued in MI
Practice address
555 S 70TH Street
Lincoln, NE 68510
Phone
(402) 219-8747
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004729 MI Primary

Addresses

Primary practice location

555 S 70TH Street
Lincoln, NE 68510

Mailing address

8055 O Street
Suite 300
Lincoln, NE 68510-2580
Phone (402) 421-0904

Other identifiers 1

IdentifierTypeStateIssuer
23094OtherNEBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000045 NE Practitioner - Physician Assistant 5193737468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Physician Associates, LLCGroup PAC ID 2365334364, 76 clinicians

Practice addresses (Care Compare)

1600 N 48TH St
Lincoln, NE 68506-1283
Phone (402) 481-8566

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 475-1011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1397NEMDOptometrist
5601004729MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
John F. Trapp, MD, PC Current Accepting new patients
Jeffrey E Jarrett, MD, PC Current Accepting new patients
Madonna Rehabilitation Hospital Current Accepting new patients
Kevin J Reichmuth, MD, PC Current Accepting new patients
Douglas R. Fiedler, MD, PC Current Accepting new patients
Pulmonary Medicine of Lincoln, PC Current Accepting new patients
William M Johnson, MD, PC Current Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients

Locations

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

1500 S 48th St
Ste 800
Lincoln, NE 68506
Phone (402) 483-8600

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Interoperability endpoints

  • Direct secure messaging: michael.thompson@mrh.allscriptsdirect.net

Organizations & group practices 11

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1902847130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 O STREET",
            "address_2": "SUITE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102580",
            "telephone_number": "402-421-0904",
            "fax_number": "402-421-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 70TH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-219-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23094",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.