Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JOHN MYCHAL THOMPSON MSN, APRN, AGNP-C
NPI 1174122121
Nurse Practitioner - Gerontology in Texarkana, TX

Active since October 21, 2020PECOS EnrolledAccepts Medicare Assignment
3002 MOORES LN, TEXARKANA, TX 75503(430) 200-4350(833) 491-2722 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2022, Dec 17, 2021, Oct 21, 2020 (3 updates tracked since 2020).

About Mr. John Mychal Thompson Msn, Aprn, Agnp-c NPPES

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

MR. JOHN MYCHAL THOMPSON MSN, APRN, AGNP-C (NPI 1174122121) is an individual gerontology provider in Texarkana, Texas, licensed in Arkansas (212494) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174122121
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. JOHN MYCHAL THOMPSONCredential: MSN, APRN, AGNP-C
Location Address3002 MOORES LNTexarkana, TX 75503-2204
Mailing Address1411 TerraceMagnolia, AR 71753-2040 · (870) 833-1060
Fax(833) 491-2722
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 21, 2020
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1174122121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in AR · 212494
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 212494 (AR)
3002 MOORES LN, Texarkana, TX 75503

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

Mr. John Mychal Thompson Msn, Aprn, Agnp-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 ID143610832
PECOS Enrollment IDI20211213001403
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 75503 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 8

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

Nurse Practitioner (Family)
3002 MOORES LN
TEXARKANA, TX 75503
Nurse Practitioner (Family)
3002 MOORES LN
TEXARKANA, TX 75503
Nurse Practitioner (Family)
3002 MOORES LN
TEXARKANA, TX 75503
Pharmacy Technician
3002 MOORES LN
TEXARKANA, TX 75503
Nurse Practitioner (Family)
3002 MOORES LN
TEXARKANA, TX 75503
Nurse Practitioner (Family)
3002 MOORES LN
TEXARKANA, TX 75503
Nurse Practitioner (Family)
3002 MOORES LN
TEXARKANA, TX 75503
Nurse Practitioner (Family)
3002 MOORES LN
TEXARKANA, TX 75503

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 John Thompson's NPI number?

The NPI number for John Thompson is 1174122121. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is John Thompson located?

John Thompson practices at 3002 Moores Ln, Texarkana, TX 75503. The listed phone number is (430) 200-4350.

What is John Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is John Thompson enrolled in Medicare?

Yes. John 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 John Thompson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list John 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 John Thompson was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.