MR. JOHN MYCHAL THOMPSON MSN, APRN, AGNP-C
NPI 1174122121
Nurse Practitioner - Gerontology in Texarkana, TX
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show John Thompson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Texarkana, TX 75503
- Reassigned Medicare billing, Arkansas enrollment
- 27 clinicians in this Medicare group
Ashdown, AR 71822
- Reassigned Medicare billing, Arkansas enrollment
- 150 clinicians in this Medicare group
Malvern, AR 72104
- Reassigned Medicare billing, Arkansas enrollment
- 117 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arkansas enrollment
- 354 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 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.
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.
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.
Which organizations bill Medicare for John Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Thompson reassigns Medicare benefits to 4 organizations: Pallicare, Inc (Texarkana, TX), Access Medical Clinic Arkansas, LLC (Ashdown, AR), Access Medical Clinic Arkansas Ltc LLC (Malvern, AR) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 John Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Thompson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 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 4 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.
# Mr. John Mychal Thompson, MSN, APRN, AGNP-C · NPI 1174122121
Gerontology physician in Texarkana, Texas. Individual provider, active in the CMS NPPES registry since October 21, 2020.
## Identity
- **NPI:** 1174122121 (Entity type: Individual)
- **Enumerated:** October 21, 2020
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 212494 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3002 MOORES LN, Texarkana, TX 75503-2204
- **Phone:** (430) 200-4350 · **Fax:** (833) 491-2722
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Pallicare, Inc (NPI 1316511884, Texarkana, TX); Access Medical Clinic Arkansas, LLC (NPI 1275224263, Ashdown, AR); Access Medical Clinic Arkansas Ltc LLC (NPI 1639702731, Malvern, AR); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1174122121) · Data from the CMS NPPES public registry.