KELLY ANN THOMPSON
NPI 1184124265
Nurse Anesthetist, Certified Registered in Saint Cloud, MN
About Kelly Ann Thompson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN THOMPSON (NPI 1184124265) is an individual nurse anesthetist, certified registered in Saint Cloud, Minnesota, licensed in Minnesota (2047728) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Kelly Ann Thompson 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 Kelly Thompson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Cloud, MN 56303
- Reassigned Medicare billing, Minnesota enrollment
- 1,051 clinicians in this Medicare group
Annandale, MN 55302
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56303 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
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 Kelly Thompson's NPI number?
The NPI number for Kelly Thompson is 1184124265. It was assigned to this individual provider in the NPPES registry on February 15, 2018.
Where is Kelly Thompson located?
Kelly Thompson practices at 3701 12th St N Ste 202, Saint Cloud, MN 56303. The listed phone number is (320) 258-3090.
What is Kelly Thompson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelly Thompson enrolled in Medicare?
Yes. Kelly 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 Kelly Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Thompson reassigns Medicare benefits to 2 organizations: Centracare Clinic (Saint Cloud, MN) and Allina Health System (Annandale, MN). 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 Kelly Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Thompson affiliated with any hospitals?
According to CMS data, Kelly Thompson is affiliated with Abbott Northwestern Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Thompson was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kelly Ann Thompson · NPI 1184124265
Nurse Anesthetist, Certified Registered physician in Saint Cloud, Minnesota. Individual provider, active in the CMS NPPES registry since February 15, 2018.
## Identity
- **NPI:** 1184124265 (Entity type: Individual)
- **Enumerated:** February 15, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2047728 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3701 12TH ST N STE 202, Saint Cloud, MN 56303-2253
- **Phone:** (320) 258-3090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centracare Clinic (NPI 1003339789, Saint Cloud, MN); Allina Health System (NPI 1457657249, Annandale, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1184124265) · Data from the CMS NPPES public registry.