Individual provider Active NPI

Mindy Thompson, FNP-C

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1922625854
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75793 Issued in OK
Practice address
2501 S Louis Ave
Sioux Falls, SD 57109-4601
Phone
(605) 250-1200
NPI assigned
Jun 26, 2020
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 75793 OK Primary

Addresses

Primary practice location

2501 S Louis Ave
Sioux Falls, SD 57109-4601

Mailing address

14780 S 225TH East Ave
Coweta, OK 74429-6332
Phone (918) 521-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20251215002500 OK Practitioner - Nurse Practitioner 5193143832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Physicians GroupGroup PAC ID 0244122083, 23 clinicians

Practice addresses (Care Compare)

3103 Azalea Park Dr
Muskogee, OK 74401-2210
Phone (405) 759-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75793OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physicians Group CurrentSince Oct 6, 2025 Accepting new patients

Locations

3103 Azalea Park Dr
Muskogee, OK 74401
Phone (405) 759-4300

4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1922625854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 S 225TH EAST AVE",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744296332",
            "telephone_number": "918-521-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S LOUIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571094601",
            "telephone_number": "605-250-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MINDY",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "75793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.