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BETH ANN THOMPSON NURSE PRACTITIONER
NPI 1386011252
Nurse Practitioner - Family in Rockford, IL

Active since August 27, 2015PECOS Enrolled
3413 COLONY BAY DR, ROCKFORD, IL 61109(779) 368-0757(779) 368-0758 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 15, 2023, Nov 13, 2015 (2 updates tracked since 2015).

About Beth Ann Thompson Nurse Practitioner NPPES

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

BETH ANN THOMPSON NURSE PRACTITIONER (NPI 1386011252) is an individual family provider in Rockford, Illinois, licensed in Illinois (277.002784) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386011252
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBETH ANN THOMPSONCredential: NURSE PRACTITIONER
Location Address3413 COLONY BAY DRRockford, IL 61109-2560
Mailing Address3413 Colony Bay DrRockford, IL 61109-2560 · (779) 368-0757
Phone(779) 368-0757
Fax(779) 368-0758
Sole ProprietorNo
Enumeration DateAugust 27, 2015
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1386011252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 277.002784
3413 COLONY BAY DR, Rockford, IL 61109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Ann Thompson Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Beth Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockford Health Physicians
6.1 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000

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 61109 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE SOLARES DNP, FNP-C
Nurse Practitioner (Family)
3413 COLONY BAY DR
ROCKFORD, IL 61109
Winnebago County (779) 368-0757
MR. DAVID EUGENE WESTER PA-C
Physician Assistant
3413 COLONY BAY DR
ROCKFORD, IL 61109
Winnebago County (779) 368-0757
LATEESHA MCMILLON
Community Health Worker
3413 COLONY BAY DR
ROCKFORD, IL 61109
Winnebago County (779) 368-0757

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 Beth Thompson's NPI number?

The NPI number for Beth Thompson is 1386011252. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Where is Beth Thompson located?

Beth Thompson practices at 3413 Colony Bay Dr, Rockford, IL 61109. The listed phone number is (779) 368-0757.

What is Beth Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Beth Thompson enrolled in Medicare?

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

Which organization bills Medicare for Beth Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beth Thompson reassigns Medicare benefits to Rockford Health Physicians (Rockford, IL). 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 Beth 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 Beth Thompson was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.