NICOLE LYNISE THOMPSON AG-ACNP
NPI 1215411574
Nurse Practitioner - Critical Care Medicine in Loma Linda, CA
About Nicole Lynise Thompson Ag-acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LYNISE THOMPSON AG-ACNP (NPI 1215411574) is an individual critical care medicine provider in Loma Linda, California, licensed in California (95009905) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
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 (PECOS)
Nicole Lynise Thompson Ag-acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Nicole Thompson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 114 clinicians in this Medicare group
Temecula, CA 92590
- Reassigned Medicare billing, California enrollment
- 117 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 92354 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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Nicole Thompson's NPI number?
The NPI number for Nicole Thompson is 1215411574. It was assigned to this individual provider in the NPPES registry on September 21, 2018.
Where is Nicole Thompson located?
Nicole Thompson practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (877) 558-6248.
What is Nicole Thompson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.
Is Nicole Thompson enrolled in Medicare?
Yes. Nicole Thompson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nicole Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Thompson reassigns Medicare benefits to 3 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), El-Bershawi Medical Corp (Riverside, CA) and Rancho Family Medical Group, Inc. (Temecula, CA). 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 Nicole Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Thompson was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nicole Lynise Thompson, AG-ACNP · NPI 1215411574
Critical Care Medicine physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since September 21, 2018.
## Identity
- **NPI:** 1215411574 (Entity type: Individual)
- **Enumerated:** September 21, 2018
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** 95009905 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (877) 558-6248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA); El-Bershawi Medical Corp (NPI 1386813103, Riverside, CA); Rancho Family Medical Group, Inc. (NPI 1598791600, Temecula, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215411574) · Data from the CMS NPPES public registry.