SANDRA ST LOUIS THOMPSON NURSE PRACTITIONER
Accepted Insurance for NPI 1013525310
Nurse Practitioner - Family in Lenoir, NC

Active since July 22, 2020PECOS EnrolledAccepts Medicare Assignment
1345 NC HIGHWAY 268, LENOIR, NC 28645(828) 754-6850 Get Directions

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, May 31, 2023, Dec 10, 2021 and 4 more (7 updates tracked since 2020).

Does Sandra St Louis Thompson take my insurance?

86 North Carolina plans sold on HealthCare.gov for 2026 include Sandra St Louis Thompson, from Ambetter Health, Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare. Insurers also list Sandra St Louis Thompson in Georgia, Ohio, South Carolina, Tennessee and Wisconsin.

Call before you book: insurer directories can be out of date, so call the office at (828) 754-6850 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Ohio Medicaid ID; ask the office which Medicaid plans it takes.

156 plans · 165 plan IDs · 2026 plan year

North Carolina plans 86 plans · 95 plan IDs

Plans sold to North Carolina residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

Ambetter Health

29 plans · HMO
Accepting new patients
Complete GoldHMOGold$1,45077264NC0010007
Complete Gold + Vision + Adult DentalHMOGold$1,45077264NC0020007
Complete Gold with Atrium HealthHMOGold$1,45077264NC0010056
Complete Gold with Atrium Health + Vision + Adult DentalHMOGold$1,45077264NC0020053
Standard GoldHMOGold$2,00077264NC0010046
Standard Gold + Vision + Adult DentalHMOGold$2,00077264NC0020057
Standard Gold with Atrium HealthHMOGold$2,00077264NC0010061
Standard Gold with Atrium Health + Vision + Adult DentalHMOGold$2,00077264NC0020060
Enhanced Asthma/COPD Care Silver with $0 Drug OptionsHMOSilver$5,90077264NC0010009
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,90077264NC0020004
Standard SilverHMOSilver$6,00077264NC0010045
Standard Silver + Vision + Adult DentalHMOSilver$6,00077264NC0020056
Standard Silver with Atrium HealthHMOSilver$6,00077264NC0010060
Standard Silver with Atrium Health + Vision + Adult DentalHMOSilver$6,00077264NC0020059
Focused Silver with Atrium HealthHMOSilver$6,30077264NC0010054
Focused Silver with Atrium Health + Vision + Adult DentalHMOSilver$6,30077264NC0020051
Clear Silver with $0 Insulin OptionsHMOSilver$7,00077264NC0010037
Elite BronzeHMOExpanded Bronze$077264NC0010036
Elite Bronze + Vision + Adult DentalHMOExpanded Bronze$077264NC0020036
Elite Bronze with Atrium HealthHMOExpanded Bronze$077264NC0010050
Elite Bronze with Atrium Health + Vision + Adult DentalHMOExpanded Bronze$077264NC0020047
Standard Expanded BronzeHMOExpanded Bronze$7,50077264NC0010044
Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50077264NC0020055
Standard Expanded Bronze with Atrium HealthHMOExpanded Bronze$7,50077264NC0010059
Standard Expanded Bronze with Atrium Health + Vision + Adult DentalHMOExpanded Bronze$7,50077264NC0020058
Everyday BronzeHMOExpanded Bronze$8,45077264NC0010028
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45077264NC0020028
Everyday Bronze with Atrium HealthHMOExpanded Bronze$8,45077264NC0010049
Everyday Bronze with Atrium Health + Vision + Adult DentalHMOExpanded Bronze$8,45077264NC0020046

Blue Cross and Blue Shield of NC

27 plans · PPO, HMO, POS
Accepting new patients
PPO Blue Advantage/Options network · 9 plans · PPO tier
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide DoctorsPPOGold$1,80011512NC0060018
Blue Advantage Gold Standard A | Nationwide DoctorsPPOGold$2,00011512NC0060050
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide DoctorsPPOSilver$2,80011512NC0060002
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide DoctorsPPOSilver$3,00011512NC0060028
Blue Advantage Silver Standard | Nationwide DoctorsPPOSilver$6,00011512NC0060051
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide DoctorsPPOExpanded Bronze$4,00011512NC0060031
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide DoctorsPPOExpanded Bronze$7,00011512NC0060004
Blue Advantage Bronze Standard | Nationwide DoctorsPPOExpanded Bronze$7,50011512NC0060052
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide DoctorsPPOExpanded Bronze$8,50011512NC0060059
HMO Blue Care network · 9 plans · HMO tier
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide DoctorsHMOGold$1,80011512NC0430004
Blue Care Gold Standard A | Statewide DoctorsHMOGold$2,00011512NC0430001
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide DoctorsHMOSilver$2,80011512NC0430005
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide DoctorsHMOSilver$3,00011512NC0430007
Blue Care Silver Standard | Statewide DoctorsHMOSilver$6,00011512NC0430002
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide DoctorsHMOExpanded Bronze$4,00011512NC0430008
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide DoctorsHMOExpanded Bronze$7,00011512NC0430009
Blue Care Bronze Standard | Statewide DoctorsHMOExpanded Bronze$7,50011512NC0430003
Blue Care Bronze HSA Eligible | Integrated | Statewide DoctorsHMOExpanded Bronze$8,50011512NC0430010
POS Blue Value network · 9 plans · POS tier
Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide DoctorsPOSGold$1,80011512NC0100009
Blue Value Gold Standard A | Limited Statewide DoctorsPOSGold$2,00011512NC0100072
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide DoctorsPOSSilver$2,80011512NC0100064
Blue Value Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide DoctorsPOSSilver$3,00011512NC0100011
Blue Value Silver Standard | Limited Statewide DoctorsPOSSilver$6,00011512NC0100073
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide DoctorsPOSExpanded Bronze$4,00011512NC0100012
Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide DoctorsPOSExpanded Bronze$7,00011512NC0100070
Blue Value Bronze Standard | Limited Statewide DoctorsPOSExpanded Bronze$7,50011512NC0100074
Blue Value Bronze HSA Eligible | Integrated | Limited Statewide DoctorsPOSExpanded Bronze$8,50011512NC0100079

Cigna Healthcare

17 plans · HMO
Accepting new patients
Connect Gold 1500 Indiv Med DeductibleHMOGold$1,50073943NC0070053
Connect Gold CMS StandardHMOGold$2,00073943NC0070050
Connect Gold RD CMS StandardHMOGold$2,00073943NC0070061
Connect Silver RD 3500 Indiv Med DeductibleHMOSilver$3,50073943NC0070057
Connect Silver 3600 Indiv Med DeductibleHMOSilver$3,60073943NC0070030
Connect myDiabetesCare SilverHMOSilver$4,30073943NC0070052
Connect Silver 5000 Indiv Med DeductibleHMOSilver$5,00073943NC0070029
Connect Silver RD 5000 Indiv Med DeductibleHMOSilver$5,00073943NC0070058
Connect Silver CMS StandardHMOSilver$6,00073943NC0070049
Connect Silver RD CMS StandardHMOSilver$6,00073943NC0070059
Connect Bronze RD 5000 Indiv Med DeductibleHMOExpanded Bronze$5,00073943NC0070054
Connect Bronze 5500 Indiv Med DeductibleHMOExpanded Bronze$5,50073943NC0070028
Connect Bronze RD 6000 Indiv Med DeductibleHMOExpanded Bronze$6,00073943NC0070055
Connect myDiabetesCare BronzeHMOExpanded Bronze$6,00073943NC0070051
Connect Bronze 6500 Indiv Med DeductibleHMOExpanded Bronze$6,50073943NC0070027
Connect Bronze CMS StandardHMOExpanded Bronze$7,50073943NC0070046
Connect Bronze RD CMS StandardHMOExpanded Bronze$7,50073943NC0070056

UnitedHealthcare

13 plans · HMO
Accepting new patients
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOGold$054332NC0030035
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)HMOGold$75054332NC0030040
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$75054332NC0060007
UHC Gold Standard (No Referrals)HMOGold$2,00054332NC0030022
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)HMOSilver$2,50054332NC0030039
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)HMOSilver$2,50054332NC0060006
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)HMOSilver$3,55054332NC0030020
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOSilver$3,55054332NC0060004
UHC Silver Standard (No Referrals)HMOSilver$6,00054332NC0030027
UHC Bronze Essential ($0 Virtual Urgent Care, No ReferralsHMOBronze$10,60054332NC0030026
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOExpanded Bronze$054332NC0030033
UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50054332NC0030030
UHC Bronze Standard+ Dental + Vision (No Referrals)HMOExpanded Bronze$7,50054332NC0060005

Also listed in other states 70 plans · 5 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Georgia

25 plans · HMO
Accepting new patientsDeductible $0 to $9,000
Elite Gold HMOHMOGold$070893GA0010074
Elite Gold HMO + Vision + Adult DentalHMOGold$070893GA0030075
Everyday Gold HMOHMOGold$80070893GA0010071
Everyday Gold HMO + Vision + Adult DentalHMOGold$80070893GA0030071
Clear Gold HMOHMOGold$1,20070893GA0010073
Clear Gold HMO + Vision + Adult DentalHMOGold$1,20070893GA0030074
Complete Gold HMOHMOGold$1,45070893GA0010020
Complete Gold HMO + Vision + Adult DentalHMOGold$1,45070893GA0030020
Standard Gold HMOHMOGold$2,00070893GA0010078
Standard Gold HMO + Vision + Adult DentalHMOGold$2,00070893GA0030078
Complete Silver HMOHMOSilver$5,95070893GA0010017
Complete Silver HMO + Vision + Adult DentalHMOSilver$5,95070893GA0030017
Standard Silver HMOHMOSilver$6,00070893GA0010077
Standard Silver HMO + Vision + Adult DentalHMOSilver$6,00070893GA0030077
Focused Silver HMOHMOSilver$6,30070893GA0010070
Focused Silver HMO + Vision + Adult DentalHMOSilver$6,30070893GA0030070
Clear Silver HMO with $0 Insulin OptionsHMOSilver$7,00070893GA0010068
Clear Bronze HMOHMOBronze$9,00070893GA0010006
Clear Bronze HMO + Vision + Adult DentalHMOBronze$9,00070893GA0030019
Choice Bronze HSA HMOHMOExpanded Bronze$7,25070893GA0010051
Choice Bronze HSA HMO + Vision + Adult DentalHMOExpanded Bronze$7,25070893GA0030051
Standard Expanded Bronze HMOHMOExpanded Bronze$7,50070893GA0010076
Standard Expanded Bronze HMO + Vision + Adult DentalHMOExpanded Bronze$7,50070893GA0030076
Everyday Bronze HMOHMOExpanded Bronze$8,45070893GA0010064
Everyday Bronze HMO + Vision + Adult DentalHMOExpanded Bronze$8,45070893GA0030064

Ambetter Health · Tennessee

16 plans · EPO
Accepting new patientsDeductible $0 to $8,450
Elite GoldEPOGold$070111TN0110031
Elite Gold + Vision + Adult DentalEPOGold$070111TN0120034
Everyday GoldEPOGold$80070111TN0110030
Everyday Gold + Vision + Adult DentalEPOGold$80070111TN0120030
Standard GoldEPOGold$2,00070111TN0110035
Standard Gold + Vision + Adult DentalEPOGold$2,00070111TN0120037
Enhanced Diabetes Care Silver with $0 Drug OptionsEPOSilver$5,00070111TN0110018
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalEPOSilver$5,00070111TN0120001
Standard SilverEPOSilver$6,00070111TN0110034
Standard Silver + Vision + Adult DentalEPOSilver$6,00070111TN0120036
Elite BronzeEPOExpanded Bronze$070111TN0110026
Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$070111TN0120026
Standard Expanded BronzeEPOExpanded Bronze$7,50070111TN0110033
Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50070111TN0120035
Everyday BronzeEPOExpanded Bronze$8,45070111TN0110023
Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45070111TN0120023

Anthem Blue Cross and Blue Shield · Ohio

11 plans · HMO
Accepting new patientsDeductible $2,000 to $10,600
Pathway X HMO and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970005
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$5,00029276OH0970006
Anthem Silver Pathway 5500 for HSAHMOSilver$5,50029276OH0970004
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970001
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$6,00029276OH0970002
Anthem Bronze Pathway 8500 for HSAHMOExpanded Bronze$8,50029276OH0970012
Pathway X HMO and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOGold$2,00029276OH0970009
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOSilver$6,00029276OH0970008
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$7,50029276OH0970007
Pathway X HMO, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970011
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970010

Ambetter Health · South Carolina

9 plans · HMO
Accepting new patientsDeductible $0 to $8,450
Standard GoldHMOGold$2,00079222SC0010033
Standard SilverHMOSilver$6,00079222SC0010032
Standard Silver + Vision + Adult DentalHMOSilver$6,00079222SC0020032
Focused SilverHMOSilver$6,30079222SC0010025
Elite BronzeHMOExpanded Bronze$079222SC0010022
Elite Bronze + Vision + Adult DentalHMOExpanded Bronze$079222SC0020022
Standard Expanded BronzeHMOExpanded Bronze$7,50079222SC0010031
Everyday BronzeHMOExpanded Bronze$8,45079222SC0010011
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45079222SC0020011

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · POS
Accepting new patientsDeductible $0 to $8,450
Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003
Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Questions about Sandra St Louis Thompson’s insurance

What insurance does Sandra St Louis Thompson take?

In North Carolina, Ambetter Health, Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare include Sandra St Louis Thompson in 86 Marketplace plans for 2026. Call the office at (828) 754-6850 to confirm your plan before booking.

Is Sandra St Louis Thompson accepting new patients?

The insurers that list Sandra St Louis Thompson report that Sandra St Louis Thompson is accepting new patients. Call the office at (828) 754-6850 to confirm your plan before booking.

Do I need a referral to see Sandra St Louis Thompson?

Not under the North Carolina plans that list Sandra St Louis Thompson: the 2026 plan files say a specialist referral is not required.

Does Sandra St Louis Thompson accept Medicare?

Yes. CMS files show Sandra St Louis Thompson accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Blue Cross and Blue Shield of NC: Oct 15, 2026
Anthem Blue Cross and Blue Shield: Oct 15, 2026
Ambetter Health: Oct 14, 2026
UnitedHealthcare: Oct 13, 2026
Cigna Healthcare: Oct 6, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Georgia. No document links.Plan year 2026, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.