GERVON R THOMPSON PMHNP
NPI 1275371049
Nurse Practitioner - Psychiatric/Mental Health in New York, NY
About Gervon R Thompson Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GERVON R THOMPSON PMHNP (NPI 1275371049) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (F406088-01) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
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)
Gervon R Thompson Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gervon Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10028
- Reassigned Medicare billing, New York enrollment
- 35 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 10035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Gervon Thompson's NPI number?
The NPI number for Gervon Thompson is 1275371049. It was assigned to this individual provider in the NPPES registry on July 17, 2024.
Where is Gervon Thompson located?
Gervon Thompson practices at 198 E 121st St # 5, New York, NY 10035. The listed phone number is (212) 801-3300.
What is Gervon Thompson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Gervon Thompson enrolled in Medicare?
Yes. Gervon Thompson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gervon Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gervon Thompson reassigns Medicare benefits to Integrative Wellness Nurse Practitioner In Psychiatry PLLC (New York, NY). The 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 Gervon 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 Gervon Thompson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Gervon R Thompson, PMHNP · NPI 1275371049
Psychiatric/Mental Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 17, 2024.
## Identity
- **NPI:** 1275371049 (Entity type: Individual)
- **Enumerated:** July 17, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F406088-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 198 E 121ST ST # 5, New York, NY 10035-3523
- **Phone:** (212) 801-3300
## 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:** Integrative Wellness Nurse Practitioner In Psychiatry PLLC (NPI 1336745058, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275371049) · Data from the CMS NPPES public registry.