KIMBERLY THOMPSON
NPI 1124906482
Nurse Practitioner - Family in Stony Brook, NY

Q: What is Kimberly Thompson's NPI number?

The NPI number for Kimberly Thompson is 1124906482. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Q: What is Kimberly Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Thompson was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 25, 2025PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-2710 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Thompson NPPES

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

KIMBERLY THOMPSON (NPI 1124906482) is an individual family provider in Stony Brook, New York, licensed in New York (356199) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124906482

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY THOMPSON

Location Address101 NICOLLS RDStony Brook, NY 11794-3721

Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-2710

Phone(631) 444-2710

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 25, 2025

Last NPPES UpdateSeptember 2, 2025

NPPES CertifiedSeptember 2, 2025

✔ NPI 1124906482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 356199

101 NICOLLS RD, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Thompson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971093980

PECOS Enrollment IDI20251107002092

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 11794 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

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