MRS. STACI DIANE THOMPSON FNP-C
NPI 1417400755
Nurse Practitioner - Family in Peru, IN
About Mrs. Staci Diane Thompson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACI DIANE THOMPSON FNP-C (NPI 1417400755) is an individual family provider in Peru, Indiana, licensed in Indiana (71006408A) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Staci Diane Thompson Fnp-c 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.
Medicare Billing Reassignments
4Medicare enrollment records show Staci Thompson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marion, IN 46953
- Reassigned Medicare billing, Indiana enrollment
- 71 clinicians in this Medicare group
Bedford, IN 47421
- Reassigned Medicare billing, Indiana enrollment
- 156 clinicians in this Medicare group
Hanover, IN 47243
- Reassigned Medicare billing, Indiana enrollment
- 220 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Indiana enrollment
- 171 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46970 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PERU, IN 46970
PERU, IN 46970
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 Staci Thompson's NPI number?
The NPI number for Staci Thompson is 1417400755. It was assigned to this individual provider in the NPPES registry on August 3, 2016.
Where is Staci Thompson located?
Staci Thompson practices at 661 E Main St, Peru, IN 46970. The listed phone number is (765) 472-2519.
What is Staci Thompson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Staci Thompson enrolled in Medicare?
Yes. Staci Thompson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Staci Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Staci Thompson reassigns Medicare benefits to 4 organizations: Indiana Health Centers, Inc (Marion, IN), Fc Indiana, LLC (Bedford, IN), Fast Pace Medical Clinic PLLC (Hanover, IN) and Upperline Healthcare, PC (Hoover, AL). 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 Staci Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Staci Thompson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Staci Thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Staci Thompson was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Staci Diane Thompson, FNP-C · NPI 1417400755
Family physician in Peru, Indiana. Individual provider, active in the CMS NPPES registry since August 3, 2016.
## Identity
- **NPI:** 1417400755 (Entity type: Individual)
- **Enumerated:** August 3, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71006408A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 661 E MAIN ST, Peru, IN 46970-2662
- **Phone:** (765) 472-2519 · **Fax:** (765) 400-4465
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Indiana Health Centers, Inc (NPI 1215343389, Marion, IN); Fc Indiana, LLC (NPI 1225579063, Bedford, IN); Fast Pace Medical Clinic PLLC (NPI 1649770769, Hanover, IN); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** October 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417400755) · Data from the CMS NPPES public registry.