DESIREA' LA SHAY THOMPSON NP
NPI 1194618025
Nurse Practitioner in Charlotte, NC

Q: What is Desirea' Thompson's NPI number?

The NPI number for Desirea' Thompson is 1194618025. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Desirea' Thompson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Desirea' Thompson was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 30, 2025PECOS EnrolledAccepts Medicare Assignment

125 QUEENS RD STE 250, CHARLOTTE, NC 28204(704) 316-5100(704) 316-5101 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, May 30, 2025 (2 updates tracked since 2025).

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About Desirea' La Shay Thompson Np NPPES

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

DESIREA' LA SHAY THOMPSON NP (NPI 1194618025) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5022261) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1194618025

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDESIREA' LA SHAY THOMPSONCredential: NP

Location Address125 QUEENS RD STE 250Charlotte, NC 28204-3419

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-5100

Fax(704) 316-5101

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 30, 2025

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1194618025 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 NC · 5022261

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 5022261 (NC)

125 QUEENS RD STE 250, Charlotte, NC 28204

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Secondary Practice Location 1

Location 1200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Desirea' La Shay Thompson Np 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 ID8921595810

PECOS Enrollment IDI20251014003298

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

HANNAH RAE FLYNN ACNP

Nurse Practitioner (Acute Care)