Nicole Lynise Thompson, AG-ACNP in Loma Linda, CA

Nicole Lynise Thompson, AG-ACNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Loma Linda, California. Her current practice location is 11234 Anderson St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (877) 558-6248.

Nicole Lynise Thompson is licensed to practice in California (license number 95009905) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215411574.

Contact Information

	Nicole Lynise Thompson, AG-ACNP
	11234 Anderson St, Loma Linda, CA 92354-2804
	(877) 558-6248
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Lynise Thompson
Gender	Female
Speciality	Nurse Practitioner - Critical Care Medicine
Location	11234 Anderson St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215411574
Provider Enumeration Date: 09/21/2018
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 0840531786
Enrollment ID: I20190403000460

Medical Identifiers

Medical identifiers for Nicole Lynise Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215411574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	95009905 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Lynise Thompson allows following entities to bill medicare on her behalf.

Entity Name	Rancho Family Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598791600 PECOS PAC ID: 6305741240 Enrollment ID: O20031203000710

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	El-bershawi Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386813103 PECOS PAC ID: 9032298492 Enrollment ID: O20080509000414

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Lynise Thompson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Lynise Thompson, AG-ACNP 28780 Single Oak Dr, Ste 160, Temecula, CA 92590-5528 Ph: (951) 676-4193	Nicole Lynise Thompson, AG-ACNP 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (877) 558-6248

Reviews and Comments

Nurse Practitioner Nurses in Loma Linda, CA

Mr. Albert Francis Schey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11234 Anderson St # 6100, Loma Linda, CA 92350 Phone: 909-558-4200
Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967
Lauren Trajano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000

Nicole Lynise Thompson, AG-ACNP - Medicare Nurse Practitioner in Loma Linda, CA