Individual provider Active NPI

Caitlyn Thompson, NP

  • Gerontology Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1962284281
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11027465 Issued in FL
Practice address
1900 Mercy Dr
Orlando, FL 32808-5612
Phone
(872) 231-3162
NPI assigned
Oct 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11027465 FL Primary

Addresses

Primary practice location

1900 Mercy Dr
Orlando, FL 32808-5612

Mailing address

PO Box 7410884
Chicago, IL 60674-0884
Phone (702) 899-0595

Other practice location 1

2065 Highway A1A Apt 1403
Indian Harbour Beach, FL 32937-1811
Phone (219) 140-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231220004071 FL Practitioner - Nurse Practitioner 7315397007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants Florida PLLCGroup PAC ID 4486997426, 41 clinicians

Practice addresses (Care Compare)

1026 Albee Farm Rd
Venice, FL 34285-6213
Phone (941) 484-0425

558 N Semoran Blvd
Regents Park of Winter Park
Winter Park, FL 32792-2840
Phone (407) 679-1515

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
70.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027465FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Med PA CurrentSince Feb 4, 2024 Accepting new patients
Integrated Rehab Consultants Florida, PLLC CurrentSince Oct 22, 2024 Accepting new patients

Locations

3355 E Semoran Blvd
Apopka, FL 32703
Phone (407) 862-6263

1900 Mercy Dr
Orlando, FL 32808
Phone (407) 299-5404

4875 Cason Cove Dr
Orlando, FL 32811
Phone (386) 344-1538

730 Courtland St
Orlando, FL 32804
Phone (407) 375-3800

210 Lake Ave
Orlando, FL 32801
Phone (407) 422-4103

7512 Dr Phillips Blvd
Ste 50-344
Orlando, FL 32819
Phone (407) 543-6306

175 Villa Nueva Ave NE
Palm Bay, FL 32907
Phone (313) 574-2965

1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425

1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107

300 NW 1st Ave
Williston, FL 32696
Phone (352) 528-3561

2970 Scarlet Rd
Winter Park, FL 32792
Phone (350) 250-2435

558 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 628-0123

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.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1962284281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410884",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740884",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MERCY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085612",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2065 Highway A1A Apt 1403",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329371811",
            "country_code": "US",
            "telephone_number": "219-140-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAITLYN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11027465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.