Staci Renee Thompson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9169001 Issued in FL

Practice address

6015 Pointe West Blvd
Bradenton, FL 34209-5525

Phone

(941) 792-1404

Fax

(941) 795-1717

NPI assigned

Apr 20, 2007

Last updated

Feb 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, IN, WV, VA, OH, MD, DC, PA8 enrollments

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 8

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• SMH Physician Services Inc

  dba First Physicians Group

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292
  Medicare reassignment Care Compare group NPD
• Post Acute Telehealth PC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1164011185

  DC, FL, IN, MD, PA, VA, WV

  Medicare reassignment Care Compare group
• Digestive Disease Specialist of Manatee PL

  dba Ddsom

  • Gastroenterology Physician
  • Bradenton, FL
  • NPI 1174655211
  Medicare reassignment NPD
• Stonerise Services, LLC

  • Nurse Practitioner
  • Charleston, WV
  • NPI 1558743849

  Family

  Medicare reassignment NPD
• Anesthesia Services of Manatee LLC

  • Certified Registered Nurse Anesthetist
  • Bradenton, FL
  • NPI 1699153064
  NPD (past)
• Coastal Orthopedics & Sports Medicine of Southwest FL, PA

  • Specialist
  • Bradenton, FL
  • NPI 1811134794
  NPD (past)
• Genesiscare USA of Florida LLC

  dba Venice Urology

  • Urology Physician
  • Venice, FL
  • NPI 1316127152
  NPD (past)
• The Healthcaring Clinic of Florida, LLC

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1003914441
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1982821757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095525",
            "telephone_number": "941-917-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095525",
            "telephone_number": "941-792-1404",
            "fax_number": "941-795-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "STACI",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9169001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308776000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y140P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalen Miles Thompson, OD
• Leslie A Thompson, DMD
• Nikkia Brittney Thompson, DDS
• Raegan Brooke Thompson
• Sherry Gray V Thompson, APRN
• Veronica Anne Thompson, DDS
• Michelle Thomsen
• Thorassic Park
• Thorassic Park, Inc
• Lena Thoresen, OTR

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.