MR. CLARK ROBERT THOMPSON MA
NPI 1003284274
Student in an Organized Health Care Education/Training Program in Fayetteville, AR
About Mr. Clark Robert Thompson Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLARK ROBERT THOMPSON MA (NPI 1003284274) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Northfield.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Clark Robert Thompson Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clark Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, AR 72703
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clark Thompson's NPI number?
The NPI number for Clark Thompson is 1003284274. It was assigned to this individual provider in the NPPES registry on September 4, 2015.
Where is Clark Thompson located?
Clark Thompson practices at 86 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 435-6360.
What is Clark Thompson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Clark Thompson enrolled in Medicare?
Yes. Clark Thompson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clark Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clark Thompson reassigns Medicare benefits to Associated Clinical Psychologists, Ltd (Park Ridge, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clark Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clark Thompson accept?
Health plans from Oscar Health list Clark Thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Clark Thompson was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Clark Robert Thompson, MA · NPI 1003284274
Student in an Organized Health Care Education/Training Program provider in Fayetteville, Arkansas. Individual provider, active in the CMS NPPES registry since September 4, 2015.
## Identity
- **NPI:** 1003284274 (Entity type: Individual)
- **Enumerated:** September 4, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 86 W SUNBRIDGE DR, Fayetteville, AR 72703-1822
- **Phone:** (479) 435-6360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Associated Clinical Psychologists, Ltd (NPI 1578665147, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1003284274) · Data from the CMS NPPES public registry.