KEITRA THOMPSON CRNP
NPI 1063942555
Nurse Practitioner - Family in Bridgeport, CT
About Keitra Thompson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITRA THOMPSON CRNP (NPI 1063942555) is an individual family provider in Bridgeport, Connecticut, licensed in Connecticut (8742) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Keitra Thompson Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Keitra Thompson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Concord, MA 01742
- Reassigned Medicare billing, Connecticut enrollment
- 13 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 06605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keitra Thompson's NPI number?
The NPI number for Keitra Thompson is 1063942555. It was assigned to this individual provider in the NPPES registry on June 15, 2017.
Where is Keitra Thompson located?
Keitra Thompson practices at 64 Black Rock Ave, Bridgeport, CT 06605. The listed phone number is (203) 579-5000.
What is Keitra Thompson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keitra Thompson enrolled in Medicare?
Yes. Keitra 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 organizations bill Medicare for Keitra Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keitra Thompson reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and Familywell PLLC (Concord, MA). Each 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 Keitra Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keitra Thompson accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Keitra 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 Keitra Thompson was last updated on May 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Keitra Thompson, CRNP · NPI 1063942555
Family physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since June 15, 2017.
## Identity
- **NPI:** 1063942555 (Entity type: Individual)
- **Enumerated:** June 15, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8742 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 64 BLACK ROCK AVE, Bridgeport, CT 06605-1200
- **Phone:** (203) 579-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Familywell PLLC (NPI 1396524005, Concord, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063942555) · Data from the CMS NPPES public registry.