Individual provider Active NPI

Natalie Anne Thompson, MSN, FNP-BC

  • Family Nurse Practitioner
  • Bridgeport, IL
National Provider Identifier
1972213882
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026491 Issued in IL
Practice address
101 Industry Rd
Bridgeport, IL 62417-2442
Phone
(618) 945-3001
NPI assigned
Dec 1, 2022
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 209.026491 IL Primary

Addresses

Primary practice location

101 Industry Rd
Bridgeport, IL 62417-2442

Mailing address

101 Industry Rd
Bridgeport, IL 62417-2442
Phone (618) 945-3001

Other practice location 1

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621

Other names 1

  • Natalie Anne Faivre Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230410001896 IL Practitioner - Nurse Practitioner 6800261629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Columbia School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians

Practice addresses (Care Compare)

101 Industry Rd
Bridgeport, IL 62417-2442
Phone (618) 945-3001

605 E Main St
Olney, IL 62450-2163
Phone (618) 392-1140

900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.026491ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District CurrentSince Jul 10, 2023 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jan 30, 2023 Accepting new patients
Wabash General Hospital District CurrentSince Jul 10, 2023 Accepting new patients
Richland Memorial Hospital, Inc Past Accepting new patients
Wabash General Hospital District Past Accepting new patients

Locations

101 Industry Rd
Bridgeport, IL 62417
Phone (618) 395-7340

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

363 N West St
Olney, IL 62450
Phone (618) 392-9400

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

Interoperability endpoints

  • Direct secure messaging: nfaivreaprn361922@carlehiedirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1972213882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 INDUSTRY RD",
            "city": "BRIDGEPORT",
            "state": "IL",
            "postal_code": "624172442",
            "telephone_number": "618-945-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 INDUSTRY RD",
            "city": "BRIDGEPORT",
            "state": "IL",
            "postal_code": "624172442",
            "telephone_number": "618-945-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 College Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Carmel",
            "state": "IL",
            "postal_code": "628632638",
            "country_code": "US",
            "telephone_number": "618-262-8621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NATALIE",
        "middle_name": "ANNE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "FAIVRE",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeport, IL

Sources for this page

Verify at the official NPI Registry.