ALICIA THOMPSON PMHNP-BC
NPI 1215806351
Nurse Practitioner in Valparaiso, IN

Active since November 05, 2025PECOS Enrolled
2104 EISENHOWER AVE, VALPARAISO, IN 46383(219) 840-0253 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Alicia Thompson Pmhnp-bc NPPES

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

ALICIA THOMPSON PMHNP-BC (NPI 1215806351) is an individual nurse practitioner in Valparaiso, Indiana, licensed in Indiana (71017379A) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215806351
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICIA THOMPSONCredential: PMHNP-BC
Location Address2104 EISENHOWER AVEValparaiso, IN 46383-3222
Mailing Address2104 Eisenhower AveValparaiso, IN 46383-3222 · (219) 840-0253
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
NPI 1215806351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71017379A
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.
2104 EISENHOWER AVE, Valparaiso, IN 46383

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alicia Thompson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890267801
PECOS Enrollment IDI20260610003080
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 46383 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Alicia Thompson's NPI number?

The NPI number for Alicia Thompson is 1215806351. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Alicia Thompson located?

Alicia Thompson practices at 2104 Eisenhower Ave, Valparaiso, IN 46383. The listed phone number is (219) 840-0253.

What is Alicia Thompson's specialty?

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

Is Alicia Thompson enrolled in Medicare?

Yes. Alicia Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Thompson was last updated on November 5, 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.