NIKITA MARIE THOMPSON
NPI 1003538117
Social Worker - Clinical in Johnson City, TN

Active since September 15, 2022PECOS EnrolledAccepts Medicare Assignment
917 W WALNUT ST, JOHNSON CITY, TN 37604(423) 439-6464(423) 439-7118 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 18, 2025, Sep 15, 2022 (2 updates tracked since 2022).

About Nikita Marie Thompson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKITA MARIE THOMPSON (NPI 1003538117) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (9952) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003538117
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNIKITA MARIE THOMPSON
Location Address917 W WALNUT STJohnson City, TN 37604-6527
Mailing AddressPo Box 699Mountain Home, TN 37684-0699
Fax(423) 439-7118
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 15, 2022
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1003538117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 9952
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
917 W WALNUT ST, Johnson City, TN 37604

Other Names 1

Former Name (1)Nikita Marie Mccord

Other Identifiers 1

MedicaidQ109067TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikita Marie Thompson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062906266
PECOS Enrollment IDI20251215003413
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nikita Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604

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 Nikita Thompson's NPI number?

The NPI number for Nikita Thompson is 1003538117. It was assigned to this individual provider in the NPPES registry on September 15, 2022. The provider is also known as Nikita Marie Mccord.

Where is Nikita Thompson located?

Nikita Thompson practices at 917 W Walnut St, Johnson City, TN 37604. The listed phone number is (423) 439-6464.

What is Nikita Thompson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nikita Thompson enrolled in Medicare?

Yes. Nikita Thompson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nikita Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikita Thompson reassigns Medicare benefits to Medical Education Assistance Corporation (Johnson City, TN). 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 Nikita Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikita Thompson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Nikita 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 Nikita Thompson was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.