KELLI SUE THOMPSON FNP-C
NPI 1124488317
Nurse Practitioner in Glendale, AZ

Active since March 01, 2016PECOS EnrolledAccepts Medicare Assignment
18555 N 79TH AVE STE D101, GLENDALE, AZ 85308(480) 563-8009(480) 563-8009 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2018, Mar 3, 2016 (2 updates tracked since 2016).

About Kelli Sue Thompson Fnp-c NPPES

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

KELLI SUE THOMPSON FNP-C (NPI 1124488317) is an individual nurse practitioner in Glendale, Arizona, licensed in Arizona (AP11562) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Killeen, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124488317
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLI SUE THOMPSONCredential: FNP-C
Location Address18555 N 79TH AVE STE D101Glendale, AZ 85308-6040
Mailing Address9977 N 90th St Ste 350Scottsdale, AZ 85258-4434 · (480) 245-6126 · Fax (480) 563-8009
Fax(480) 563-8009
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 1, 2016
Last NPPES UpdateAugust 22, 20182 updates tracked since enumeration
NPI 1124488317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · AP11562
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP128449 (TX)
18555 N 79TH AVE STE D101, Glendale, AZ 85308

Other Names 1

Former Name (1)Kelli Beasley Aprn

Secondary Practice Location 1

Location 13800 S W S Young Dr, SUITE 201Killeen, TX 76542-3311 · Phone (254) 245-9175 · Fax (254) 213-7771

Other Identifiers 1

Medicaid356798401TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelli Sue Thompson Fnp-c 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 ID8527367333
PECOS Enrollment IDI20250825000918, I20260217000882
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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 6

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

Nurse Practitioner
18555 N 79TH AVE STE D101
GLENDALE, AZ 85308
Pain Medicine (Pain Medicine)
18555 N 79TH AVE STE D101
GLENDALE, AZ 85308
Physician Assistant (Medical)
18555 N 79TH AVE STE D101
GLENDALE, AZ 85308
Pain Medicine (Interventional Pain Medicine)
18555 N 79TH AVE STE D101
GLENDALE, AZ 85308
Nurse Practitioner
18555 N 79TH AVE STE D101
GLENDALE, AZ 85308
Nurse Practitioner (Family)
18555 N 79TH AVE STE D101
GLENDALE, AZ 85308

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 Kelli Thompson's NPI number?

The NPI number for Kelli Thompson is 1124488317. It was assigned to this individual provider in the NPPES registry on March 1, 2016. The provider is also known as Kelli Beasley Aprn.

Where is Kelli Thompson located?

Kelli Thompson practices at 18555 N 79th Ave Ste D101, Glendale, AZ 85308. The listed phone number is (480) 563-8009.

What is Kelli Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelli Thompson enrolled in Medicare?

Yes. Kelli 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.

What insurance does Kelli Thompson accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Kelli 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 Kelli Thompson was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.